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Individual
DAVID A. OTT
Active
Individual
DAVID A. OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D9598
TX
2086S0129X
Vascular Surgery Physician
D9598
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
D9598
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
780000003
RR MEDICARE
TX
Enumeration date
10/06/2006
Last updated
12/09/2016
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