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NPI Code Detail

MEDICARE: HEIDI OSTLER

MEDICARE:   HEIDI  OSTLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianA165776CA
2390200000XStudent in an Organized Health Care Education/Training Program
32080P0202XPediatric Cardiology PhysicianA165776CA

General Provider Information

NPI Number : 1538657010
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI OSTLER
Provider Business Mailing Address
First Line : 6651 MAIN ST STE E1920
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2428
Country : US
Telephone Number : 832-826-5048
Fax Number :
Provider Business Practice Location Address
First Line : 6651 MAIN ST STE E1920
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2428
Country : US
Telephone Number : 832-826-5048
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2018
Last Update Date : 02/13/2025

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Directions to “ HEIDI OSTLER ” Practice Location

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