Organization
RE OOTEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD RYAN OOTEN (OWNER)
(940) 626-9228
Entity
Organization
Contact information
Practice address
239 HARVEY LN, DECATUR, TX 76234-8412
(940) 626-9228
Mailing address
239 HARVEY LN, DECATUR, TX 76234-8412
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
C10-0311A
—
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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