Provider Demographics
NPI:1790998771
Name:OSTRINSKY, YEVGENIY (MD)
Entity Type:Individual
Prefix:DR
First Name:YEVGENIY
Middle Name:
Last Name:OSTRINSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1701 WALTER HOLLIDAY DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033
Mailing Address - Country:US
Mailing Address - Phone:817-760-0234
Mailing Address - Fax:817-641-3355
Practice Address - Street 1:1701 WALTER HOLLIDAY DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033
Practice Address - Country:US
Practice Address - Phone:817-760-0234
Practice Address - Fax:817-641-3355
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN1409207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX208252101Medicaid