Individual
DR. GINA RACHELLE COTTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3944 RR 620 S BLDG 8 STE 222, AUSTIN, TX 78738-7000
(125) 263-1113
(125) 263-1119
Mailing address
3944 RR 620 S BLDG 8 STE 222, AUSTIN, TX 78738-7000
(125) 263-1113
(125) 263-1119
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M7304
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189952801
—
TX
01
—
8S5182
BCBS OF TEXAS INDIVIDUAL #
TX
Enumeration date
08/24/2006
Last updated
11/17/2020
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