Individual
NATHANIEL OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
810 TURNER AVE, DALLAS, TX 75208-3737
(623) 210-6504
Mailing address
810 TURNER AVE, DALLAS, TX 75208-3737
(623) 210-6504
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
R1604
TX
Other
Enumeration date
05/01/2014
Last updated
07/21/2022
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