KOTEL ATX NPI 1083430185

NPI Information

  • NPI: 1083430185
  • Provider Name: KOTEL ATX
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 4201 W PARMER LN STE C175
    AUSTIN, TX
    ZIP 78727
  • Phone: (855) 204-2502

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NPI Details

KOTEL ATX is a psychiatric/mental health nurse practitioner in Austin, TX. KOTEL ATX NPI is 1083430185. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4201 W PARMER LN STE C175
AUSTIN, TX
ZIP 78727-161
Phone: (855) 204-2502

The provider's authorized official is Chimene Perez .
The authorized official title is Credentialing Manager and has the following contact phone number (904) 750-3344.

The enumeration date for this NPI number is 11/23/2024 and was last updated on 12/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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