Individual ProviderDavid A. OttThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansPractice Address1101 Bates Ave, P115, Houston, TX 77030-2607(832) 355-4900PECOS EnrollmentBased on the most recent information from CMS, provider David A. Ott does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1093802530Provider TypeIndividualFull NameOtt, David A.CredentialM.D.GenderMaleSole ProprietorYesEnumeration Date10/6/2006Last Updated12/9/2016Contact InformationPractice LocationPractice Address1101 Bates Ave, P115, Houston, TX 77030-2607Phone(832) 355-4900Fax(832) 355-3770Mailing LocationMailing AddressPO Box 20345, Houston, TX 77225-0345Phone(832) 355-4900FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208G00000XPrimaryDescriptionThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansLicenseD9598TexasCode2086S0129XDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicenseD9598TexasCode208600000XDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicenseD9598TexasProvider IdentifiersIDDescriptionIssuerID780000003DescriptionOtherIssuerRR MEDICARETexas