IndividualActive
Jessica Otah
NPI 1043773955 · Pediatric Anesthesiology Physician · Austin, TX
Provider details
- NPI number
- 1043773955
- Entity type
- Individual
- Primary specialty
- Pediatric Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 186224 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
9835 N Lake Creek Pkwy
Austin, TX 78717-6210
Phone: (737) 229-2000
Approximate (ZIP-level) locationGet directions
Mailing address
1050 Mockingbird Hill Ct
Murphy, TX 75094-3255
Registry dates
- Enumerated
- 2019-04-08
- Last updated
- 2024-07-09
- Certified
- 2024-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.