Provider Demographics
NPI:1891919825
Name:DAVID M. COTLAR, M.D., P.A.
Entity Type:Organization
Organization Name:DAVID M. COTLAR, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVIDM
Authorized Official - Middle Name:M
Authorized Official - Last Name:COTLAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-776-3045
Mailing Address - Street 1:7777 SOUTHWEST FWY STE 946
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1813
Mailing Address - Country:US
Mailing Address - Phone:713-776-3045
Mailing Address - Fax:713-766-2402
Practice Address - Street 1:7777 SOUTHWEST FWY STE 946
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1813
Practice Address - Country:US
Practice Address - Phone:713-776-3045
Practice Address - Fax:713-766-2402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXBCBSOther00BA36