Individual
CHRISTOPHER LAWRENCE OTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNFA
Contact information
Practice address
8591 S BROADWAY AVE, TYLER, TX 75703-5470
(903) 606-8840
(903) 606-1121
Mailing address
8591 S BROADWAY AVE, TYLER, TX 75703-5470
(903) 606-8840
(903) 606-1121
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
666652
TX
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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