Rafael F Otero, Phd, INC

NPI #1518902303 in Texarkana, Texas

Provider Information

NPI Number: 1518902303
Entity Type: Organization
Organization Name: Rafael F Otero, Phd, INC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jun 17, 2006
Last Updated: Jan 28, 2008

Practice Location

Address: 5425 PLAZA DR
City: Texarkana
State: Texas
ZIP Code: 75503-1662
Phone: (903) 838-3711

Authorized Official

Name: DR. RAFAEL F OTERO, PHD
Title: PRES./PSYCHOLOGIST
Phone: (903) 838-3711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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