Individual
ELIAS BOTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
832 FM 1960 RD, HOUSTON, TX 77073-2008
(832) 329-5680
Mailing address
PO BOX 940003, HOUSTON, TX 77094-7003
(832) 329-5680
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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