Individual
RAFAEL C BOTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6410 FANNIN ST, 370, HOUSTON, TX 77030-3000
(713) 704-6800
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
(713) 704-6616
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L9105
TX
207RI0008X
Hepatology Physician
Primary
L9105
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8F9513
BCBS
TX
Enumeration date
07/10/2006
Last updated
12/03/2007
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