Individual
OTTO BONETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(210) 916-2460
Mailing address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
H7912
TX
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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