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NPI Code Detail

MEDICARE: TONYA TENILLE MCAFEE COTA

MEDICARE: TONYA TENILLE MCAFEE 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 Assistant215143TX

General Provider Information

NPI Number : 1962966358
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONYA TENILLE MCAFEE COTA
Provider Business Mailing Address
First Line : 4111 AVENUE B
Second Line :
City : BROOKSHIRE
State : TX
Zip : 77423
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1424 FALLBROOK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77038-1846
Country : US
Telephone Number : 346-754-5070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2019
Last Update Date : 01/30/2019

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Directions to “ TONYA TENILLE MCAFEE COTA” Practice Location

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