Provider Demographics
NPI:1720651680
Name:REMOTE MD TEXAS PLLC
Entity Type:Organization
Organization Name:REMOTE MD TEXAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KOTLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-818-0006
Mailing Address - Street 1:7927 CYPRESS CREEK PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-5707
Mailing Address - Country:US
Mailing Address - Phone:504-818-0006
Mailing Address - Fax:
Practice Address - Street 1:7927 CYPRESS CREEK PKWY STE 110
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-5707
Practice Address - Country:US
Practice Address - Phone:504-818-0006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty