DR. Jesus Botello JR., PH.D.

NPI #1386117539 in Windcrest, Texas

Provider Information

NPI Number: 1386117539
Entity Type: Individual
Name: DR. Jesus Botello JR., PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: PH.D.
Enumeration Date: Jan 9, 2019
Last Updated: Aug 11, 2020

Practice Location

Address: 8201 ROUGHRIDER DR
City: Windcrest
State: Texas
ZIP Code: 78239-2430
Phone: (210) 504-4786

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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