Organization
OTT MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL OTT MD (MANAGER)
(623) 210-6504
Entity
Organization
Contact information
Practice address
3900 BOWSER AVE, DALLAS, TX 75219
(623) 210-6504
Mailing address
3824 CEDAR SPRINGS RD STE 421, DALLAS, TX 75219-4136
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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