Individual
MR. ALEJANDRO BOTELLO I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 FAIRVIEW ST, MARSHALL, TX 75672-7757
(903) 938-8209
(903) 938-8461
Mailing address
114 FAIRVIEW ST, MARSHALL, TX 75672-7757
(903) 938-8209
(903) 938-8461
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
3-20083-3144-2
TX
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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