Teixeira, Otto H.P.

Teixeira, Otto H.P. is an individual health care provider with primary practice located at 325 N State Of Franklin Rd., Ground Floor , Johnson City TN 37604-6062. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Teixeira, Otto H.P. can be contacted via phone (423) 439-7320.

Contact Information

Primary practice address
325 N State Of Franklin Rd., Ground Floor Johnson City TN 37604-6062
Fax: (423) 439-7343
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34692 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 034692 Tennessee

Profile Details

NPI number 1831184266
LBN Legal business name Teixeira, Otto H.P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Feb 15th, 2012 - about 12 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 1831184266 NPPES
Tennessee Other 3714470 GROUP MEDICARE #

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