Gideon Petrus Botha in League City - Professional
Gideon Petrus Botha - NPI 1356460414
Gideon Petrus Botha is a Professional in League City, Texas. Gideon Petrus Botha practices all healthcare services and medical treatments related to Professional. The NPI Number for Gideon Petrus Botha is 1356460414. The last update date is 2012-04-23.
Gideon Petrus Botha's current location address is 2160 Brittany Colony Dr, League City, Texas. You can contact this provider via phone number 2813160548 and fax number 2813160548. The mailing address for Gideon Petrus Botha is 2160 Brittany Colony Dr, League City, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gideon Petrus Botha |
|---|---|
| Address | 2160 Brittany Colony Dr, League City, Texas |
| Phone Number | 2813160548 |
| Fax Number | 2813160548 |
| Sole Proprietor | Y |
| Credentials | LPC, LMFT |
NPI Number Detail
| NPI Number | 1356460414 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2012-04-23 |
Provider Mailing Address Detail
| Address | 2160 Brittany Colony Dr |
|---|---|
| City | League City |
| State | Texas (TX) |
| Post Code | 775736246 |
| Phone Number | 2813160548 |
| Fax Number | 2813160548 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 61340 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique identifier code issued to Gideon Petrus Botha by the Centers for Medicare & Medicaid Services?
The Gideon Petrus Botha has been assigned the NPI (National Provider Identifier) 1356460414. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Gideon Petrus Botha's facilities are geographically located?
The facilities of Gideon Petrus Botha are physically situated at the following location: 2160 Brittany Colony Dr, League City, TX, 775736246.
What is Gideon Petrus Botha's area of expertise and its corresponding taxonomy classification?
The Gideon Petrus Botha's field of specialization is Professional, and it falls under the taxonomy code 101Yp2500X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1356460414 to Gideon Petrus Botha?
The Centers for Medicare & Medicaid Services originally issued the 1356460414 to Gideon Petrus Botha on 2007-03-28.
As of what date were the Gideon Petrus Botha's details last updated?
The information pertaining to the Gideon Petrus Botha, including its address, specialty, and other details, was most recently updated on 2012-04-23.
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