Individual
JOSHUA STEVENSON BOTDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T2006017752
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
107079
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2011014544
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
56817
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
R1504
TX
207RN0300X
Nephrology Physician
2011014544
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
393432501
—
TX
01
—
8KM370
BCBS
TX
Enumeration date
10/02/2006
Last updated
07/01/2019
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