MEDICARE: NEIL KOTTA

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1568301471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEIL KOTTA

Provider Business Mailing Address
First Line	:	2101 PEASE ST STE 200
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550-8307
Country	:	US
Telephone Number	:	956-296-1590
Fax Number	:

Provider Business Practice Location Address
First Line	:	2101 PEASE ST STE 200
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550-8307
Country	:	US
Telephone Number	:	956-453-8654
Fax Number	:

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

Provider Enumeration Date	:	03/26/2026
Last Update Date	:	03/26/2026

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Directions to “ NEIL KOTTA ” Practice Location

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