Individual
DR. CARMELO OTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 N SAN SABA STE 206, SAN ANTONIO, TX 78207-3120
(210) 615-6626
(210) 477-0279
Mailing address
PO BOX 650002, DEPT 8286, DALLAS, TX 75265-0002
(210) 615-6626
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G7417
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150394808
—
TX
Enumeration date
07/18/2006
Last updated
10/10/2024
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