Individual
MR. SAMUEL JAMES OTT I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.T.R
Contact information
Practice address
350 FM 145, EARTH, TX 79031-2110
(806) 946-6280
Mailing address
350 FM 145, EARTH, TX 79031-2110
(806) 946-6280
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
97853
TX
2471C3402X
Radiography Radiologic Technologist
Primary
97853
TX
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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