Individual
DR. EMMEKEN GODELIEVE OTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
901 W HAMILTON ST, OLNEY, TX 76374-1725
(940) 564-5521
Mailing address
100 S AVENUE M, OLNEY, TX 76374-1642
(940) 564-3546
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N7733
TX
208000000X
Pediatrics Physician
N7733
TX
Other
Enumeration date
09/26/2007
Last updated
09/12/2024
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