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Contact Information

JESSICA OTAH
9835 N LAKE CREEK PKWY
AUSTIN, TX78717-6210
 Phone: 737-229-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Anesthesiology

207LP3000X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JESSICA OTAH · (Female)

NPI Number 1043773955
Status Active
Credentials
Entity Individual
Enumeration date 04/08/2019
Last updated 07/09/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # 186224
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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