Basic Information
| Provider Information | |||||||||
| NPI: | 1477666824 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOTZ | ||||||||
| FirstName: | ROY | ||||||||
| MiddleName: | JOE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2005 MEDICAL PKWY | ||||||||
| Address2: | C | ||||||||
| City: | SAN MARCOS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 786667576 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5123963911 | ||||||||
| FaxNumber: | 5123530807 | ||||||||
| Practice Location | |||||||||
| Address1: | 2005 MEDICAL PKWY | ||||||||
| Address2: | C | ||||||||
| City: | SAN MARCOS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 786667576 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5123963911 | ||||||||
| FaxNumber: | 5123530807 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/17/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | D0168 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.