Individual
DR. JUAN MANUEL BOTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1213 HERMANN DR, SUITE 570, HOUSTON, TX 77004-7018
(713) 524-3900
(713) 527-8356
Mailing address
1213 HERMANN DR, SUITE 570, HOUSTON, TX 77004-7018
(713) 524-3900
(713) 527-8356
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
K8021
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
K8021
TX
207RP1001X
Pulmonary Disease Physician
Primary
K8021
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173861901
—
TX
Enumeration date
11/14/2005
Last updated
02/25/2020
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