Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | H8341 | TX |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | H8341 | TX |
NPI | 1366417883 |
---|---|
Provider Name | Christine Quatro Ott |
First Address | Fort Worth, TX 76244-6471 |
Second Address | Fort Worth, TX 76244-6471 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2006 |
Last Update Date | 12/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1106049-01 | (05) | TX |
F89296 | (02) | TX |
POOT98P2 | (05) | TX |