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NPI Code Detail

MEDICARE: VICKI LUONG COTA

MEDICARE:   VICKI  LUONG  COTA
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
1224Z00000XOccupational Therapy Assistant218283TX

General Provider Information

NPI Number : 1134971070
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICKI LUONG COTA
Provider Business Mailing Address
First Line : 16311 S TEMPLE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77095-5919
Country : US
Telephone Number : 832-640-9797
Fax Number :
Provider Business Practice Location Address
First Line : 18502 GREEN LAND WAY STE D
Second Line :
City : HOUSTON
State : TX
Zip : 77084-7967
Country : US
Telephone Number : 281-717-4308
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2024
Last Update Date : 04/03/2024

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Directions to “ VICKI LUONG COTA” Practice Location

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