Individual
LISA P OTEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2010 NAOMI ST, SUITE C, HOUSTON, TX 77054-3835
(713) 790-9265
(713) 383-0330
Mailing address
2010 NAOMI ST, SUITE C, HOUSTON, TX 77054-3835
(713) 790-9265
(713) 383-0330
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J1342
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047416501
—
TX
05
—
105740803
—
TX
05
—
105740807
—
TX
Enumeration date
10/05/2006
Last updated
06/28/2023
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