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Edwin Justin Ostrin

Internal Medicine

Allopathic & Osteopathic Physicians

1515 Holcombe Blvd, Houston, TX 77030-4009

PECOS Enrollment

This provider is enrolled in PECOS as EDWIN OSTRIN.

Based on the most recent information from CMS, provider Edwin Justin Ostrin is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 8:41 AM.

Profile Details

Provider ID
1073667887
Provider Type
Individual
Full Name
Ostrin, Edwin Justin
Title
Dr.
Credential
MD, PHD

Gender
Male
Sole Proprietor
No
Enumeration Date
1/22/2007
Last Updated
4/29/2014

Contact Information

Practice Location

1515 Holcombe Blvd, Houston, TX 77030-4009

(713) 792-6161

Unlisted Fax

Mailing Location

PO Box 4439, Houston, TX 77210-4439

(713) 792-2991

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RP1001X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License P5297 Texas

Provider Identifiers

ID	Description	Issuer
ID 328712001	Description Medicaid	Issuer Unlisted Texas
ID 8ED202	Description Other	Issuer BCBS Texas

Edwin Justin Ostrin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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