Basic Information
Provider Information
NPI: 1598992190
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COTA
FirstName: FRANCISCO
MiddleName: JAVIER
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7800 SHOAL CREEK BLVD
Address2: SUITE 205N
City: AUSTIN
State: TX
PostalCode: 78757
CountryCode: US
TelephoneNumber: 5122064341
FaxNumber:  
Practice Location
Address1: 7814 GATEWAY BLVD E
Address2:  
City: EL PASO
State: TX
PostalCode: 799151815
CountryCode: US
TelephoneNumber: 9155422352
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/22/2009
LastUpdateDate: 06/28/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000XP7093TXN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RI0011XP7093TXY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology

ID Information
IDTypeStateIssuerDescription
3598088-0105TX MEDICAID


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