# LOUIS E. COSTELLO, M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700112331
- **Authorized official:** MRS. VELMA BYFORD (CLAIMS BILLING SPECIALIST)
- **Authorized official phone:** (972) 979-7462

## Contact information

- **Practice address:** 190 CIVIC CIR, SUITE 250, LEWISVILLE, TX 75067-3424
- **Practice address phone:** (972) 436-8591
- **Practice address fax:** (972) 221-6609
- **Mailing address:** 190 CIVIC CIR, SUITE 250, LEWISVILLE, TX 75067-3424
- **Mailing address phone:** (972) 436-8591
- **Mailing address fax:** (972) 221-6609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | J1950 | TX | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | J1950 | TX | Yes |

## Other

- **Enumeration date:** 11/02/2009
- **Last updated:** 11/18/2009