Individual
DR. RANDAL A OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7979 WURZBACH RD, SAN ANTONIO, TX 78229-4427
(210) 450-1500
(210) 450-9970
Mailing address
7703 FLOYD CURL DR, MC 7977, SAN ANTONIO, TX 78229-3901
(210) 257-1400
(210) 257-1428
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
H6911
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120153506
—
TX
01
—
120153507
CSHCN
TX
Enumeration date
08/10/2006
Last updated
11/13/2009
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