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General NPI Number Information
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NPI Number | 1033280482
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Entity Type | Individual
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Provider Name | DENISE HERNANDEZ COTA
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Gender | Female
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1101 N CAGE BLVD STE 3B
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City | PHARR
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State | TX
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Zip | 78577-3124
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Country | US
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Telephone | 956-783-9000
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Fax | 956-783-9131
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Provider Business Mailing Address
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Address Line | RR 3 BOX 49231
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City | ALAMO
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State | TX
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Zip | 78516-9369
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Country | US
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Telephone | 956-784-1156
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 209590
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License Number State | TX
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