# FAMILY MEDICAL CENTER OF GEORGETOWN, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700946118
- **Authorized official:** RICHARD E OTTO MD (CO-OWNER)
- **Authorized official phone:** (512) 868-0901

## Contact information

- **Practice address:** 908 ROCKMOOR DR, GEORGETOWN, TX 78628-8966
- **Practice address phone:** (512) 868-0901
- **Practice address fax:** (512) 868-1527
- **Mailing address:** PO BOX 2509, GEORGETOWN, TX 78627-2509
- **Mailing address phone:** (512) 868-0901
- **Mailing address fax:** (512) 868-1527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/08/2006
- **Last updated:** 07/01/2010