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Organization
HENRY COSTA, MD, PA
Active
Organization
HENRY COSTA, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY COSTA M.D. (PRESIDENT)
(915) 592-6868
Entity
Organization
Contact information
Practice address
10555 VISTA DEL SOL DR, STE 120, EL PASO, TX 79925-7942
(915) 590-6770
(915) 590-6624
Mailing address
7812 GATEWAY BLVD E, STE 200, EL PASO, TX 79915-1803
(915) 592-6868
(915) 592-6889
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
NULL
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
09/15/2006
Last updated
09/03/2010
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