Provider Demographics
NPI:1396710984
Name:OSTRANSKY, DAVID (DO)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:OSTRANSKY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 100189
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76185-0189
Mailing Address - Country:US
Mailing Address - Phone:817-731-0230
Mailing Address - Fax:817-731-7046
Practice Address - Street 1:2801 S HULEN ST
Practice Address - Street 2:SUITE 600
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-1517
Practice Address - Country:US
Practice Address - Phone:817-731-0230
Practice Address - Fax:817-731-7046
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG7561207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG7561OtherLICENSE
TX8323K2OtherBCBS
TXG7561OtherLICENSE
D97607Medicare UPIN