P Praxis·MD
● Active Type 1 · Individual

DR. Jesus Botello JR., PH.D.

Student in an Organized Health Care Education/Training Program·Windcrest, TX· NPI 1386117539 · Enumerated 2019 · 7 years on NPI
Botello is 1 of 3 student in an organized health care education/training program providers in Windcrest and 1 of 17977 in Texas.
NPI age
7 years
Enumerated 2019-01-09
Primary specialty
Student in an Organized Health Care Education/Training Program
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-08-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 17977 active student in an organized health care education/training program providers in Texas.

NPI age
7 years
↑ 5 yr above median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 6% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-01Enumerated in NPPES
2019 2026

Where they practice

Practice location
8201 Roughrider Dr
Windcrest, TX 782392430
📞 2105044786fax 2108558133
Mailing address
8201 Roughrider Dr
Windcrest, TX 782392430
📞 2105044786fax 2108558133

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
8100 Roughrider Dr Ste 102
Windcrest, TX 782392455
📞 2105044783
Location 3
263 Jefferson St Ste 8
Eagle Pass, TX 788526845
📞 8304213701
Location 4
263 Jefferson St Ste 8
Eagle Pass, TX 788526845
📞 8304213701

Specialties

  • Student in an Organized Health Care Education/Training Program Primary
    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.
    taxonomy 390200000X
  • Psychologist
    A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles,...
    TX license #25320 taxonomy 103T00000X

Identifiers

TypeValueNotes
05 (TX) 363634201

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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