Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | Q4130 | TX |
NPI | 1003115890 |
---|---|
Provider Name | Nicole Maree Hotchkiss |
First Address | Austin, TX 78752-3825 |
Second Address | Austin, TX 78752-3825 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2011 |
Last Update Date | 17/07/2015 |