MEDICARE: LISA PEARSALL OTEY

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	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1881527745
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LISA PEARSALL OTEY

Provider Business Mailing Address
First Line	:	1315 ST JOSEPH PKWY STE 950
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-8297
Country	:	US
Telephone Number	:	713-730-2444
Fax Number	:	713-730-2445

Provider Business Practice Location Address
First Line	:	1315 ST JOSEPH PKWY STE 950
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-8297
Country	:	US
Telephone Number	:	713-730-2444
Fax Number	:	713-730-2445

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LISA OTEY
Credential	:	M.D.
Telephone Number	:	713-377-0985

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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