MEDICARE: MRS. TOMEKIA ALVAREZ 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	212032	TX

General Provider Information

NPI Number	:	1851733273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TOMEKIA ALVAREZ COTA

Provider Business Mailing Address
First Line	:	8524 HWY 6 N
Second Line	:	PMB 408
City	:	HOUSTON
State	:	TX
Zip	:	77095
Country	:	US
Telephone Number	:	225-955-3663
Fax Number	:

Provider Business Practice Location Address
First Line	:	1815 ENCLAVE PARKWAY
Second Line	:	APT 6307
City	:	HOUSTON
State	:	TX
Zip	:	77077
Country	:	US
Telephone Number	:	281-920-0573
Fax Number	:

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

Provider Enumeration Date	:	07/26/2013
Last Update Date	:	07/26/2013

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