Individual
MICHAEL RICHARD MOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7777 FOREST LANE, SUITE B222, DALLAS, TX 75230
(972) 566-7007
(972) 566-7013
Mailing address
7777 FOREST LN STE C500, DALLAS, TX 75230-2516
(972) 566-7007
(972) 566-7013
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
K4965
TX
207RP1001X
Pulmonary Disease Physician
Primary
K4965
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102698103
—
TX
05
—
102698104
—
TX
01
—
P00991919
RAILROAD
TX
Enumeration date
05/09/2006
Last updated
06/05/2024
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