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Individual

DAVID M COTLAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7777 SW FWY, SUITE 946, HOUSTON, TX 77074-1802
(713) 776-3045
(713) 776-2402
Mailing address
7777 SW FWY, SUITE 946, HOUSTON, TX 77074-1802
(713) 776-3045
(713) 776-2402

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E0864
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00BA36
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/04/2006
Last updated
07/08/2007
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