Mark Raymond Otis is a Clinical in Dallas, Texas. Mark Raymond Otis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Raymond Otis is 1477661981. The last update date is 2007-07-08.
Mark Raymond Otis's current location address is 2925 Lbj Freeway, Dallas, Texas. You can contact this provider via phone number 9722410674. The mailing address for Mark Raymond Otis is 2925 Lbj Freeway, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Raymond Otis |
|---|---|
| Address | 2925 Lbj Freeway, Dallas, Texas |
| Phone Number | 9722410674 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1477661981 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2925 Lbj Freeway |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752347619 |
| Phone Number | 9722410674 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 22147 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Mark Raymond Otis by the Centers for Medicare & Medicaid Services?
The Mark Raymond Otis has been assigned the NPI (National Provider Identifier) 1477661981. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark Raymond Otis located?
The Mark Raymond Otis is located at 2925 Lbj Freeway, Dallas, TX 752347619.
What is the area of specialization for Mark Raymond Otis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark Raymond Otis is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When did Mark Raymond Otis receive its 1477661981 assignment?
The Mark Raymond Otis was assigned its 1477661981 on 2006-08-25, which is the date when this unique identifier was issued to the organization.
When was the information regarding Mark Raymond Otis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark Raymond Otis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.