Otero, Angelo Luis
Otero, Angelo Luis is an individual health care provider with primary practice located at 800 8Th Ave Ste 116 , Fort Worth TX 76104-2606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Otero, Angelo Luis can be contacted via phone (817) 336-5633.Contact Information
Primary practice address
800 8Th Ave Ste 116
Fort Worth TX 76104-2606
Phone: (817) 336-5633
Fax: (817) 870-9760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | E5196 | Texas |
Profile Details
| NPI number | 1053363838 |
|---|---|
| LBN Legal business name | Otero, Angelo Luis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Feb 1st, 2008 - about 16 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 | 1053363838 | NPPES |
| Texas | Other | 8F8970 | BCBS |
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