MEDICARE: EMILY ANN COTTRILL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA20227	TX

General Provider Information

NPI Number	:	1043141955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY ANN COTTRILL

Provider Business Mailing Address
First Line	:	350 VISTA COURT DR APT 6108
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-8376
Country	:	US
Telephone Number	:	724-814-2415
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 VISTA COURT DR APT 6108
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-8376
Country	:	US
Telephone Number	:	724-814-2415
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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Directions to “ EMILY ANN COTTRILL ” Practice Location

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