NATHANIEL OTT


Address: 810 Turner Ave, Dallas, TX 75208-3737
Phone: 6232106504

NATHANIEL OTT (NPI# 1679983480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679983480
Entity Type Individual
Full Name NATHANIEL OTT
Credential M.D.
Practice Address 810 Turner Ave
Dallas
TX 75208-3737
Practice Telephone 6232106504
Mailing Telephone (623) 210-6504
Enumeration Date 2014-05-01
Last Update Date 2017-06-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice R1604 TX Allopathic & Osteopathic Physicians

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Office Location

Street Address 810 TURNER AVE
City DALLAS
State TX
Zip Code 75208-3737

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City DALLAS
Zip Code 75208

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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