Individual
MICHAEL BRIAN ROTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 E COURT ST, SEGUIN, TX 78155-5129
(830) 401-7204
Mailing address
4207 BRADWOOD RD, AUSTIN, TX 78722-1138
(512) 419-0301
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M4493
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181539101
—
TX
05
—
181539103
—
TX
01
—
8U4379
BCBS
TX
01
—
8X7456
BCBS
TX
Enumeration date
07/12/2006
Last updated
03/10/2008
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