Dr Jesus Botello Jr, PHD is a
Student In An Organized Health Care Education/training Program based in Windcrest, Texas. Dr Jesus Botello Jr is licensed to practice in * (Not Available) (license number ) and his current practice location is
8201 Roughrider Dr, Windcrest, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 504-4786.
NPI number for Dr Jesus Botello Jr is 1386117539 and his current mailing address is 8201 Roughrider Dr, Windcrest, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386117539.
Healthcare Provider's Profile
| Full Name | Dr Jesus Botello Jr |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 8201 Roughrider Dr, Windcrest, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1386117539
- Provider Enumeration Date: 01/09/2019
- Last Update Date: 08/11/2020
Medical Identifiers
Medical identifiers for Dr Jesus Botello Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386117539 | NPI | - | NPPES |
| 363634201 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 25320 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jesus Botello Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jesus Botello Jr, PHD
8201 Roughrider Dr,
Windcrest, TX 78239-2430
Ph: (210) 504-4786 | Dr Jesus Botello Jr, PHD
8201 Roughrider Dr,
Windcrest, TX 78239-2430
Ph: (210) 504-4786 |
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