Organization
FAMILY MEDICAL CENTER OF GEORGETOWN, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD E OTTO MD (CO-OWNER)
(512) 868-0901
Entity
Organization
Contact information
Practice address
908 ROCKMOOR DR, GEORGETOWN, TX 78628-8966
(512) 868-0901
(512) 868-1527
Mailing address
PO BOX 2509, GEORGETOWN, TX 78627-2509
(512) 868-0901
(512) 868-1527
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/08/2006
Last updated
07/01/2010
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