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NPI Code Detail

MEDICARE: GERALD P MOTZ PHD

MEDICARE: GERALD P MOTZ PHD
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
1103TC0700XClinical Psychologist22714TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2260033127OTHERTXRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
381887POTHERTXBCBS

General Provider Information

NPI Number : 1447391891
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALD P MOTZ PHD
Provider Business Mailing Address
First Line : 24891 HIGHWAY 6
Second Line :
City : HEMPSTEAD
State : TX
Zip : 77445-7747
Country : US
Telephone Number : 713-869-8552
Fax Number : 713-869-8564
Provider Business Practice Location Address
First Line : 24891 HIGHWAY 6
Second Line :
City : HEMPSTEAD
State : TX
Zip : 77445-7747
Country : US
Telephone Number : 713-869-8552
Fax Number : 713-869-8564
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2007
Last Update Date : 11/06/2008

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