Provider Demographics
NPI:1104286616
Name:OLSHINKA, ASAF (MD)
Entity type:Individual
Prefix:MR
First Name:ASAF
Middle Name:
Last Name:OLSHINKA
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 1:5526 JACKWOOD ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096
Mailing Address - Country:US
Mailing Address - Phone:713-469-8494
Mailing Address - Fax:
Practice Address - Street 1:6701 FANNIN ST SUITE 610
Practice Address - Street 2:PLASTIC SURGERY
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-469-8494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-25
Last Update Date:2016-12-08
Deactivation Date:2016-10-21
Deactivation Code:
Reactivation Date:2016-11-23
Provider Licenses
StateLicense IDTaxonomies
ZZ35287208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery