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NPI Code Detail

MEDICARE: ROBERT J BOETTGER

MEDICARE: ROBERT J BOETTGER
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
1235Z00000XSpeech-Language Pathologist14927TX

General Provider Information

NPI Number : 1942431556
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT J BOETTGER
Provider Business Mailing Address
First Line : 12371 S KIRKWOOD RD
Second Line :
City : STAFFORD
State : TX
Zip : 77477-2836
Country : US
Telephone Number : 713-995-9292
Fax Number : 713-995-4402
Provider Business Practice Location Address
First Line : 12371 S KIRKWOOD RD
Second Line :
City : STAFFORD
State : TX
Zip : 77477-2836
Country : US
Telephone Number : 713-995-9292
Fax Number : 713-995-4402
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2009
Last Update Date : 12/07/2025

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Directions to “ ROBERT J BOETTGER ” Practice Location

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