Provider Demographics
NPI:1952287856
Name:HERNANDEZ, ARMANDO ISIDRO (COTA)
Entity type:Individual
Prefix:
First Name:ARMANDO
Middle Name:ISIDRO
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 CORTES ST
Mailing Address - Street 2:
Mailing Address - City:KRUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76227-9555
Mailing Address - Country:US
Mailing Address - Phone:931-841-1574
Mailing Address - Fax:
Practice Address - Street 1:2505 BRINKER RD
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76208-6430
Practice Address - Country:US
Practice Address - Phone:940-323-1710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX213021224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant