Organization
OTONIEL HUERTAS M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OTONIEL HUERTAS M.D. (PRESIDENT)
(972) 279-9000
Entity
Organization
Contact information
Practice address
7557 RAMBLER RD, STE 100, DALLAS, TX 75231-4142
(972) 279-9000
(972) 279-9008
Mailing address
7557 RAMBLER RD, STE 100, DALLAS, TX 75231-4142
(972) 279-9000
(972) 279-9008
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K9806
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Y123
GROUP PTAN
TX
01
—
8F6103
MEDICARE PTAN INDIVIDUAL
TX
Enumeration date
09/20/2007
Last updated
04/28/2014
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