Provider Demographics
NPI:1366736050
Name:MOTA, ESTELA (MD)
Entity type:Individual
Prefix:
First Name:ESTELA
Middle Name:
Last Name:MOTA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:ESTELA
Other - Middle Name:MARINA
Other - Last Name:MOTA GARCIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5901 OLD FREDERICKSBURG RD STE A103
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-1210
Mailing Address - Country:US
Mailing Address - Phone:512-761-6133
Mailing Address - Fax:845-237-5921
Practice Address - Street 1:402 YOUENS DR
Practice Address - Street 2:
Practice Address - City:WEIMAR
Practice Address - State:TX
Practice Address - Zip Code:78962-3680
Practice Address - Country:US
Practice Address - Phone:979-725-8545
Practice Address - Fax:979-725-8287
Is Sole Proprietor?:No
Enumeration Date:2011-05-31
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP8512207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine