Provider Demographics
NPI:1306942487
Name:OLARTE-MOTTA, JOSE L (MD)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:L
Last Name:OLARTE-MOTTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JOSE
Other - Middle Name:L
Other - Last Name:OLARTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:333 N SANTA ROSA
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-3108
Mailing Address - Country:US
Mailing Address - Phone:713-798-1750
Mailing Address - Fax:713-798-4693
Practice Address - Street 1:333 N SANTA ROSA
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-3108
Practice Address - Country:US
Practice Address - Phone:713-798-1750
Practice Address - Fax:713-798-4693
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK16012080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX137358OtherSUPERIOR PIN
TX179120401Medicaid
TX00U87ZOtherBCBSTX GRP PIN
TX10044069OtherAMERIGROUP PIN
TX1682925OtherUHC PIN
TX151002100OtherFIRSTCARE PIN
750369203OtherGRP NPI NUMBER
TX137345810Medicaid
TX179120402Medicaid
TX398035OtherPHCS PIN
TX5916304OtherAETNA PIN
TX140442852Medicaid
TX8A5661OtherBCBSTX IND PIN
TX9912256OtherCIGNA PIN
TX5916304OtherAETNA PIN
TX179120402Medicaid
TX9912256OtherCIGNA PIN