Otoupal, Nan Nell

Otoupal, Nan Nell is an sole proprietor health care provider with primary practice located at 102 Wonder World Dr # 304-146 , San Marcos TX 78666-6076. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Otoupal, Nan Nell can be contacted via phone (719) 501-3337.

Contact Information

Primary practice address
102 Wonder World Dr # 304-146 San Marcos TX 78666-6076
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1245310325
LBN Legal business name Otoupal, Nan Nell
Credentials LIC CLIN SOC WORKER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Dec 19th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245310325 NPPES
Texas MEDICAID 164304104
Texas Other 0071ME

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