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NPI Code Detail

MEDICARE: GHAZAL RAZA COTA

MEDICARE: GHAZAL RAZA 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 Assistant212971TX

General Provider Information

NPI Number : 1922588706
Entity Type Code : Individual
Provider Name (Legal Business Name) : GHAZAL RAZA COTA
Provider Business Mailing Address
First Line : 3625 GREEN CREST DR
Second Line :
City : HOUSTON
State : TX
Zip : 77082-4056
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3625 GREEN CREST DR
Second Line :
City : HOUSTON
State : TX
Zip : 77082-4056
Country : US
Telephone Number : 844-722-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2018
Last Update Date : 08/21/2018

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Directions to “ GHAZAL RAZA COTA” Practice Location

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