Individual provider · Type 1 NPI

Fabian Boutros Otieno, MD

Student in an Organized Health Care Education/Training Program · Laredo, TX

NPI number 1982540340 Active

Practice location

1700 E Saunders St
Laredo, TX 78041-5474

Call (095) 679-6500 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XBP10098178 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1982540340

Fabian Boutros Otieno, MD's National Provider Identifier is 1982540340, issued on Apr 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Laredo, TX. The record was last updated on Apr 28, 2026.