1730919101 NPI number — MRS. CHRISTINA LATOYA MYERS COTA

Table of content: MRS. CHRISTINA LATOYA MYERS COTA (NPI 1730919101)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730919101 NPI number — MRS. CHRISTINA LATOYA MYERS COTA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MYERS
Provider First Name:
CHRISTINA
Provider Middle Name:
LATOYA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
COTA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
REUTER
Provider Other First Name:
CHRISTINA
Provider Other Middle Name:
LATOYA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
COTA
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1730919101
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2822 POTOSI RD UNIT A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ABILENE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79602-6545
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
469-455-6649
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2822 POTOSI RD UNIT A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ABILENE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79602-6545
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
469-455-6649
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/01/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 224Z00000X , with the licence number:  217866 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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