P Praxis·MD
● Active Type 1 · Individual

Betty Kalianda Oetama, M.D.

Pathology·Houston, TX· NPI 1720049356 · Enumerated 2006 · 20 years on NPI
Oetama is 1 of 416 pathology providers in Houston and 1 of 1597 in Texas.
NPI age
20 years
Enumerated 2006-03-31
Primary specialty
Pathology
Plus 1 subspecialty
Licensed in
TX, AL
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-03-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1597 active pathology providers in Texas.

NPI age
20 years
≈ at median (19 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-03Enumerated in NPPES
2006 2026

Where they practice

Practice location
2525 West Bellfort Street, Ste 120
Houston, TX 770545024
📞 7137416677fax 7137485860
Mailing address
Po Box 421849
Houston, TX 772421849
📞 7135596929fax 7135596928

Specialties

  • Pathology Primary
    A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses...
    TX license #L6132AL license #00025871 taxonomy 207ZP0102X

Identifiers

TypeValueNotes
05 (TX) 176504201
05 (TX) 176504202
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 9 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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