Provider Demographics
NPI:1477666824
Name:HOTZ, ROY JOE JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:JOE
Last Name:HOTZ
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2005 MEDICAL PKWY
Mailing Address - Street 2:C
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-7576
Mailing Address - Country:US
Mailing Address - Phone:512-396-3911
Mailing Address - Fax:512-353-0807
Practice Address - Street 1:2005 MEDICAL PKWY
Practice Address - Street 2:C
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-7576
Practice Address - Country:US
Practice Address - Phone:512-396-3911
Practice Address - Fax:512-353-0807
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXD0168207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX82X254Medicare ID - Type Unspecified
TXC17109Medicare UPIN