Provider Demographics
NPI:1851376008
Name:OTERO, FRANCISCO JAVIER (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:JAVIER
Last Name:OTERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5301 RIATA PARK COURT
Mailing Address - Street 2:BLDG D, SUITE 200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78727-3438
Mailing Address - Country:US
Mailing Address - Phone:512-617-6000
Mailing Address - Fax:512-615-0459
Practice Address - Street 1:1015 E 32ND ST
Practice Address - Street 2:SUITE 508
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-2708
Practice Address - Country:US
Practice Address - Phone:512-617-6000
Practice Address - Fax:512-480-3153
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6205207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX152711101Medicaid
TX060069367OtherMEDICARE RAILROAD
TX8F21403Medicare PIN
TXG68646Medicare UPIN
TX8F21636Medicare PIN
TX8527B1Medicare PIN