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NPI Code Detail

MEDICARE: ELINA SHTREYZMAN

MEDICARE: ELINA SHTREYZMAN
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
1183500000XPharmacist58773TX

General Provider Information

NPI Number : 1962934158
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELINA SHTREYZMAN
Provider Business Mailing Address
First Line : 1 HERMANN PARK CT APT 929
Second Line :
City : HOUSTON
State : TX
Zip : 77021-2451
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5895 SAN FELIPE ST
Second Line :
City : HOUSTON
State : TX
Zip : 77057-3061
Country : US
Telephone Number : 713-278-8450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2017
Last Update Date : 03/28/2017

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Directions to “ ELINA SHTREYZMAN ” Practice Location

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