Provider Demographics
NPI:1295430304
Name:COTO MEJIA, NINA (DDS)
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:
Last Name:COTO MEJIA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6710 SPRING STUEBNER RD STE 700
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-5197
Mailing Address - Country:US
Mailing Address - Phone:281-791-0043
Mailing Address - Fax:
Practice Address - Street 1:6710 SPRING STUEBNER RD STE 700
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-5197
Practice Address - Country:US
Practice Address - Phone:281-791-0043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-31
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX411801223G0001X
AR46881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice