Individual
DR. ANDREW ALEXANDER OTEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7204 MAIN ST, STE. 200, THE COLONY, TX 75056-3430
(469) 535-3800
(469) 533-0399
Mailing address
7204 MAIN ST, STE. 200, THE COLONY, TX 75056-3430
(469) 535-3800
(469) 533-0399
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11595
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147413996
GROUP NPI
—
01
—
303877ZTMJ
MEDICARE P-TAN
—
01
—
30495
MEDICARE P-TIN
—
Enumeration date
12/15/2010
Last updated
05/19/2016
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