Provider Demographics
NPI:1891276440
Name:TAMEZ, APRIL (COTA)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:TAMEZ
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:378 FM 2783
Mailing Address - Street 2:
Mailing Address - City:CUSHING
Mailing Address - State:TX
Mailing Address - Zip Code:75760-3908
Mailing Address - Country:US
Mailing Address - Phone:936-676-2572
Mailing Address - Fax:
Practice Address - Street 1:3001 WESTWARD DR
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75964-1232
Practice Address - Country:US
Practice Address - Phone:936-569-2631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-22
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
No225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology