Organization
JOHN T. BOTTS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN T BOTTS (AUTHORIZED OFFICIAL)
(972) 488-8926
Entity
Organization
Contact information
Practice address
17480 DALLAS PKWY, SUITE 125, DALLAS, TX 75287-7337
(972) 488-8926
(972) 881-4390
Mailing address
17480 DALLAS PKWY, SUITE 125, DALLAS, TX 75287-7337
(972) 488-8926
(972) 881-4390
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159449101
—
TX
05
—
159525801
—
TX
Enumeration date
06/20/2006
Last updated
06/13/2014
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