Provider Demographics
NPI:1558328302
Name:OSTROWER, VICTOR S (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:S
Last Name:OSTROWER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8109 FREDERICKSBURG RD
Mailing Address - Street 2:PHYSICIAN PRACTICE SERVICES
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3311
Mailing Address - Country:US
Mailing Address - Phone:210-575-8514
Mailing Address - Fax:210-575-8004
Practice Address - Street 1:8201 EWING HALSELL DR
Practice Address - Street 2:2ND FLR.
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3707
Practice Address - Country:US
Practice Address - Phone:210-575-8514
Practice Address - Fax:210-575-8004
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE3396207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00758404OtherMEDICARE RAILROAD
TX099453504Medicaid
TX8BX128OtherBCBS
TX099453505OtherCSN
TX099453504Medicaid
8F9867Medicare PIN