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NPI Code Detail

MEDICARE: ARTURO GRANADOS JR. COTA

MEDICARE: ARTURO GRANADOS 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 Assistant212117TX

General Provider Information

NPI Number : 1639651904
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARTURO GRANADOS JR. COTA
Provider Business Mailing Address
First Line : 11700 LUNA RD APT 16105
Second Line :
City : FARMERS BRANCH
State : TX
Zip : 75234-6298
Country : US
Telephone Number : 214-984-9366
Fax Number :
Provider Business Practice Location Address
First Line : 8383 MEADOW RD
Second Line :
City : DALLAS
State : TX
Zip : 75231-3701
Country : US
Telephone Number : 214-239-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2018
Last Update Date : 09/04/2018

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