Provider Demographics
NPI:1194866996
Name:COTTINGHAM, JOHN THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:THOMAS
Last Name:COTTINGHAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1930 EL DORADO BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-3621
Mailing Address - Country:US
Mailing Address - Phone:281-488-0082
Mailing Address - Fax:281-724-0225
Practice Address - Street 1:1930 EL DORADO BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-3621
Practice Address - Country:US
Practice Address - Phone:281-488-0082
Practice Address - Fax:281-724-0225
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5111207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine