Healthcare Provider Details

I. General information

NPI: 1184327090
Provider Name (Legal Business Name): THEOLENI ARGUELLES COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 03/22/2023
Certification Date: 03/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 S. CAPITAL OF TX HWY BLDG J SUITE 100
AUSTIN TX
78746
US

IV. Provider business mailing address

5701 MAPLE AVE STE 100
DALLAS TX
75235-6596
US

V. Phone/Fax

Practice location:
  • Phone: 512-503-7399
  • Fax: 214-351-6453
Mailing address:
  • Phone: 214-351-6600
  • Fax: 214-351-5046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number217502
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: