Otto Huertas MD PA

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

K9806 Issued in TX

Legal business name

OTTO HUERTAS MD PA

Doing business as

CosmeticGyn Center

Practice address

7557 Rambler Rd
Suite 100
Dallas, TX 75231-4142

Phone

(972) 279-9000

Fax

(972) 279-9008

NPI assigned

Jun 17, 2014

Organization subpart

No

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

Authorized official

Name

Beatriz Castaneda

Title

Ma

Phone

(972) 279-9000

Specialties & licenses 1

Addresses

Other names 1

• CosmeticGyn Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Otoniel Huertas Lopez, M.D.

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1518907047
  NPD

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1669886750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7557 RAMBLER RD",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314142",
            "telephone_number": "972-279-9000",
            "fax_number": "972-279-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7557 RAMBLER RD",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314142",
            "telephone_number": "972-279-9000",
            "fax_number": "972-279-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTO HUERTAS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "CASTANEDA",
        "authorized_official_first_name": "BEATRIZ",
        "authorized_official_title_or_position": "MA",
        "authorized_official_telephone_number": "972-279-9000"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "K9806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CosmeticGyn Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CosmeticGyn Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexander Steinar Ottesen, MD
• Shamika Ottley, NP
• Kurtis Ottman
• Ashley Nicole Ottmer, D.C
• Otto Bock Patient Care, LLC
• Lillian Otto
• Sandra Harman Otto, O.T.R.
• Lisa Ottomanelli, PH.D.
• Walter Otu
• Mayowa C Oturoko

• Gynecology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.