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Individual

DR. GREGORY HARNETT BOTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4095
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G72910
CA
207L00000X
Anesthesiology Physician
K5827
TX
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
G72910
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
K5827
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
043813701
TX
Enumeration date
06/28/2006
Last updated
11/11/2011
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