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NPI Code Detail

MEDICARE: MR. JOSE ALFREDO DE LA GARZA JR. COTA

MEDICARE:  MR. JOSE ALFREDO DE LA GARZA JR. 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 Assistant440309TX

General Provider Information

NPI Number : 1518604347
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSE ALFREDO DE LA GARZA JR. COTA
Provider Business Mailing Address
First Line : 14111 VANCE JACKSON RD APT 4103
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78249-1982
Country : US
Telephone Number : 956-792-5372
Fax Number :
Provider Business Practice Location Address
First Line : 14111 VANCE JACKSON RD APT 4103
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78249-1982
Country : US
Telephone Number : 956-792-5372
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2022
Last Update Date : 05/13/2022

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Directions to “ MR. JOSE ALFREDO DE LA GARZA JR. COTA” Practice Location

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