Organization
BOTTENFIELD PEDIATRIC ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD BOTTENFIELD MD (OWNER)
(979) 297-7337
Entity
Organization
Contact information
Practice address
210 LAKE RD BLDG 600, LAKE JACKSON, TX 77566-4982
(979) 297-7337
(707) 549-5792
Mailing address
210 LAKE RD STE 600, LAKE JACKSON, TX 77566-4982
(979) 297-7337
(979) 266-9076
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
08/02/2023
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