Individual
BRYAN BOTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4305 N MESA ST, EL PASO, TX 79902-1123
(915) 532-2477
(915) 242-6461
Mailing address
4305 N MESA ST STE A, EL PASO, TX 79902-1124
(915) 532-2477
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1034153
TX
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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