Individual
NII OTABIL NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10107 WESTVIEW DR, 167, HOUSTON, TX 77043-4486
(281) 220-7147
(281) 220-7147
Mailing address
10107 WESTVIEW DR, 167, HOUSTON, TX 77043-4486
(281) 220-7147
(281) 220-7147
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
9904L
CO
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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