Provider Demographics
NPI:1336743830
Name:BELTRAN, OSCAR ALBERTO (PHARMD)
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:ALBERTO
Last Name:BELTRAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4142 CEDAR SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-3522
Mailing Address - Country:US
Mailing Address - Phone:214-599-9861
Mailing Address - Fax:
Practice Address - Street 1:4142 CEDAR SPRINGS RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-3522
Practice Address - Country:US
Practice Address - Phone:214-599-9861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-24
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67530183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist