Botello, Elizabeth Ann
Botello, Elizabeth Ann is an sole proprietor health care provider with primary practice located at 5850 Fm 802 Ste. C3, Brownsville TX 78526-5203. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Botello, Elizabeth Ann can be contacted via phone (956) 832-0050.Contact Information
Primary practice address
5850 Fm 802 Ste. C3
Brownsville TX 78526-5203
Phone: (956) 832-0050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 27181 | Texas |
Profile Details
| NPI number | 1831487990 |
|---|---|
| LBN Legal business name | Botello, Elizabeth Ann |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2011 |
| Last updated | Sep 12th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831487990 | NPPES |
| Texas | MEDICAID | 282194402 | |
| Texas | MEDICAID | 282194409 |
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