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NPI Code Detail

MEDICARE: MRS. BRITTANY NICOLE MOJICA COTA

MEDICARE: MRS. BRITTANY NICOLE MOJICA 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 Assistant213668TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639641335
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRITTANY NICOLE MOJICA COTA
Provider Business Mailing Address
First Line : 600 GARLAND ST
Second Line :
City : CARTHAGE
State : TX
Zip : 75633-2956
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 107 STACY DR
Second Line :
City : WHITEHOUSE
State : TX
Zip : 75791-3740
Country : US
Telephone Number : 903-839-5050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2018
Last Update Date : 12/19/2018

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