# HENRY COSTA, MD, PA

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

## Provider details

- **NPI number:** 1871699157
- **Authorized official:** HENRY COSTA M.D. (PRESIDENT)
- **Authorized official phone:** (915) 592-6868

## Contact information

- **Practice address:** 10555 VISTA DEL SOL DR, STE 120, EL PASO, TX 79925-7942
- **Practice address phone:** (915) 590-6770
- **Practice address fax:** (915) 590-6624
- **Mailing address:** 7812 GATEWAY BLVD E, STE 200, EL PASO, TX 79915-1803
- **Mailing address phone:** (915) 592-6868
- **Mailing address fax:** (915) 592-6889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 09/03/2010