| Doctor Name: | DR. JOSEPH BOTTALICO |
| NPI Number: | 1538130653 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | OS005732L |
| Business Practice Address: | 420 E 6th St Suite 202 Odessa, TX - 797614529 |
| Business Phone Number: | 4325828757 |
| Business Fax Number: | 4325828928 |
| Mailing Address: | Po Box 4123, ODESSA |
| State: | TX |
| Postal Code: | 797604123 |
| Phone Number: | 4325822277 |
| Fax Number: | 4323332802 |
| NPI Enumeration Date: | 01/27/2006 |
| NPI Last Update Date: | 01/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | OS005732L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |