STACIE MICHELLE OTTEN

AUSTIN, TX
NPI1639129380
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: TX  K5171)
Enumeration Date2006-05-11
Last Update Date2014-07-16
Business Address
-- STACIE MICHELLE OTTEN MD
1201 W 38TH ST
AUSTIN, TX 78705-1006
Phone number: 512-324-1010
Mailing Address
-- STACIE MICHELLE OTTEN MD
2619 DEERFOOT TRL
AUSTIN, TX 78704-2715
Phone number: 512-633-4028