MEDICARE: VANESSA O MEZA 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
1	224Z00000X	Occupational Therapy Assistant	211309	TX

General Provider Information

NPI Number	:	1447818695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VANESSA O MEZA COTA

Provider Business Mailing Address
First Line	:	1205 N RAUL LONGORIA RD STE I
Second Line	:
City	:	SAN JUAN
State	:	TX
Zip	:	78589-3721
Country	:	US
Telephone Number	:	956-782-5800
Fax Number	:	956-782-5800

Provider Business Practice Location Address
First Line	:	1205 N RAUL LONGORIA RD STE I
Second Line	:
City	:	SAN JUAN
State	:	TX
Zip	:	78589-3721
Country	:	US
Telephone Number	:	956-782-5800
Fax Number	:	956-782-5800

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

Provider Enumeration Date	:	06/03/2019
Last Update Date	:	01/21/2026

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Directions to “ VANESSA O MEZA COTA” Practice Location

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