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Organization
THEODORE OTEY, M.D., P.A.
Active
Organization
THEODORE OTEY, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA OFFENBURGER (PA)
(713) 522-7086
Entity
Organization
Contact information
Practice address
2510 BROAD ST, HOUSTON, TX 77087-1445
(713) 522-7086
(713) 522-7087
Mailing address
2510 BROAD ST, HOUSTON, TX 77087-1445
(713) 522-7086
(713) 522-7087
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J1343
TX
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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