Provider Demographics
NPI:1114212206
Name:MOTES, GAROLD EDWARD JR (MD)
Entity type:Individual
Prefix:DR
First Name:GAROLD
Middle Name:EDWARD
Last Name:MOTES
Suffix:JR
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4001
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77342-4001
Mailing Address - Country:US
Mailing Address - Phone:936-291-4547
Mailing Address - Fax:936-291-4373
Practice Address - Street 1:110 MEMORIAL HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-4940
Practice Address - Country:US
Practice Address - Phone:936-304-1700
Practice Address - Fax:936-304-1701
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS30262086S0129X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery