MEDICARE: R OTTO MD PA

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
1	207Y00000X	Otolaryngology Physician	K6206	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1548234636
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R OTTO MD PA

Provider Business Mailing Address
First Line	:	1209 BENT OAKS CT
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76210-3300
Country	:	US
Telephone Number	:	940-891-6100
Fax Number	:	940-891-6110

Provider Business Practice Location Address
First Line	:	1209 BENT OAKS CT
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76210-3300
Country	:	US
Telephone Number	:	940-891-6100
Fax Number	:	940-891-6110

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RUSSELL JON OTTO
Credential	:	MD
Telephone Number	:	940-891-6100

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	10/12/2011

Similar Medicare Providers

1396748836 — NORTH TEXAS CARDIOPULMONARY, INC.
Practice Location Address:

1213 BENT OAKS CT
DENTON, TX
76210-3300

Practice Phone: 940-591-1496
Practice Fax: 940-591-1698

1205839743 — SLEEP PHYSIOLOGY
Practice Location Address:

1213 BENT OAKS CT
DENTON, TX
76210-3300

Practice Phone: 940-591-1496
Practice Fax: 940-591-1698

1932173051 — DR. RUSSELL JON OTTO MD
Practice Location Address:

1209 BENT OAKS CT
DENTON, TX
76210-3300

Practice Phone: 940-891-6100
Practice Fax: 940-891-6110

1356396980 — NUBY PEDIATRICS
Practice Location Address:

1208 BENT OAKS CT
DENTON, TX
76210-3300

Practice Phone: 940-566-5437
Practice Fax: 940-323-0553

1639124035 — DR. MARQUIS J NUBY M.D.
Practice Location Address:

1208 BENT OAKS CT
DENTON, TX
76210-3300

Practice Phone: 940-566-5437
Practice Fax: 940-323-0553

1417996984 — STEPHEN A WEINBERG M.D.
Practice Location Address:

3300 COLORADO BLVD
DENTON, TX
76210-6864

Practice Phone: 940-566-2440
Practice Fax: 940-566-0180

Directions to “R OTTO MD PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.