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Individual
MR. MATTHEW JASON COSTON
Active
Individual
MR. MATTHEW JASON COSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
BP10079369
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
U5667
TX
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
10/28/2013
Last updated
03/12/2026
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