| Rafael F Otero, Phd, Inc | |
|
5425 Plaza Dr Texarkana TX 75503-1662 | |
| (903) 838-3711 | |
| (903) 838-8879 |
| Full Name | Rafael F Otero, Phd, Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5425 Plaza Dr, Texarkana, Texas |
| Authorized Official Name and Position | Rafael F Otero (PRES./PSYCHOLOGIST) |
| Authorized Official Contact | 9038383711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rafael F Otero, Phd, Inc 5425 Plaza Dr Texarkana TX 75503-1662 Ph: (903) 838-3711 | Rafael F Otero, Phd, Inc 5425 Plaza Dr Texarkana TX 75503-1662 Ph: (903) 838-3711 |
| NPI Number | 1518902303 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 01/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518902303 | NPI | - | NPPES |
| 80433 | Other | TX | AR BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2-3031 (Texas) | Primary |
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