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NPI Code Detail

MEDICARE: DEEPAK N KOTECHA, OD, PLLC

MEDICARE: DEEPAK N KOTECHA, OD, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist04108TGTX

General Provider Information

NPI Number : 1396191292
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEEPAK N KOTECHA, OD, PLLC
Provider Business Mailing Address
First Line : 3897 SOUTHWEST FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77027-7515
Country : US
Telephone Number : 713-552-9400
Fax Number : 713-552-9447
Provider Business Practice Location Address
First Line : 3897 SOUTHWEST FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77027-7515
Country : US
Telephone Number : 713-552-9400
Fax Number : 713-552-9447
Authorized Official
Title or Position : PRESIDENT
Name : DR. DEEPAK NARANDAS KOTECHA
Credential : O.D.
Telephone Number : 713-552-9400
Provider Enumeration Date : 05/10/2016
Last Update Date : 03/29/2018

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