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Individual

MICHAEL OTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1635 NORTH LOOP W, HOUSTON, TX 77008-1532
(281) 364-2300
Mailing address
4603 WILLOW ST, BELLAIRE, TX 77401-4212
(713) 666-3730
(713) 666-3730

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
21484
KY
207P00000X
Emergency Medicine Physician
7998
NH
207P00000X
Emergency Medicine Physician
Primary
J0621
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
140214111
TX
05
140214124
TX
05
140214133
TX
05
140214134
TX
Enumeration date
07/13/2006
Last updated
08/11/2009
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