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
Phone: (423) 439-7320
Fax: (423) 439-7343
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831184266 | NPPES |
Tennessee | Other | 3714470 | GROUP MEDICARE # |
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