Provider Demographics
NPI:1740235530
Name:COTLER, HOWARD BRUCE (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:BRUCE
Last Name:COTLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HOWARD
Other - Middle Name:B
Other - Last Name:COTLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1200 BINZ ST
Mailing Address - Street 2:SUITE 970
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-6900
Mailing Address - Country:US
Mailing Address - Phone:713-523-8884
Mailing Address - Fax:713-523-9075
Practice Address - Street 1:1200 BINZ ST
Practice Address - Street 2:SUITE 970
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6900
Practice Address - Country:US
Practice Address - Phone:713-523-8884
Practice Address - Fax:713-523-9075
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG9443207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX115574902Medicaid
TXC14797Medicare UPIN
TX4109840001Medicare NSC
TX115574902Medicaid