Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | 070674 | GA |
N | 207RH0003X | Hematology & Oncology | H6453 | TX |
N | 207RH0003X | Hematology & Oncology | MD.204241 | LA |
Y | 207RX0202X | Medical Oncology | H6453 | TX |
NPI | 1043270416 |
---|---|
Provider Name | Dr. Frank E. Mott |
First Address | Houston, TX 77210-4439 |
Second Address | Houston, TX 77030-4000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2006 |
Last Update Date | 30/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003138482B | (05) | GA |
08031892 | (05) | MS |
1041048-01 | CSHCN (01) | TX |
1041048-02 | (05) | TX |
104104804 | (05) | TX |
104104805 | (05) | TX |
2128469 | (05) | LA |
830007016 | RR/MEDICARE (01) | TX |
84193K | BLUE SHIELD (01) | TX |
F04276 | (02) | TX |
Q45009 | SC MEDICAID (01) | GA |