Theodore Otey, M.D., P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J1343 Issued in TX

Legal business name

THEODORE OTEY, M.D., P.A.

Practice address

2510 Broad St
Houston, TX 77087-1445

Phone

(713) 522-7086

Fax

(713) 522-7087

NPI assigned

Jan 15, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lara Offenburger

Title

PA

Phone

(713) 522-7086

Specialties & licenses 1

Addresses

Tax ID family

Theodore Otey MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Theodore T. Otey

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1679746200
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1356672273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 BROAD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770871445",
            "telephone_number": "713-522-7086",
            "fax_number": "713-522-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 BROAD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770871445",
            "telephone_number": "713-522-7086",
            "fax_number": "713-522-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE OTEY, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "OFFENBURGER",
        "authorized_official_first_name": "LARA",
        "authorized_official_title_or_position": "PA",
        "authorized_official_telephone_number": "713-522-7086"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J1343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jisha Geoffrey Thekkumthara, NP
• Theo Transportation
• Theo'S Worth Wellness Center LLC
• Victoria Ashley Theobalds
• Theodore Joseph Trumble II MD PA
• Theodore T. Otey
• Ashton Thephaphine
• Theracare Home Health LP
• Therahappy, PLLC
• Theramax Therapy Services, PC

• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.