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Organization
LOUIS E. COSTELLO, M.D., P.A.
Active
Organization
LOUIS E. COSTELLO, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VELMA BYFORD (CLAIMS BILLING SPECIALIST)
(972) 979-7462
Entity
Organization
Contact information
Practice address
190 CIVIC CIR, SUITE 250, LEWISVILLE, TX 75067-3424
(972) 436-8591
(972) 221-6609
Mailing address
190 CIVIC CIR, SUITE 250, LEWISVILLE, TX 75067-3424
(972) 436-8591
(972) 221-6609
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
J1950
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
J1950
TX
Other
Enumeration date
11/02/2009
Last updated
11/18/2009
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