Individual
FLOYD OSTROM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1300 W LANCASTER AVE, FORT WORTH, TX 76102-3410
(817) 336-8611
(817) 390-2981
Mailing address
1300 W LANCASTER, FORT WORTH, TX 76102-3484
(817) 390-2900
(817) 390-2981
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E5595
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133077110
—
TX
01
—
1548230923
GROUP NPI NUMBER
—
Enumeration date
07/24/2006
Last updated
05/18/2010
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