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Individual

PAMELA J COSTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
2651 SAGEBRUSH DR, SUITE #116, FLOWER MOUND, TX 75028-2733
(214) 513-8684
Mailing address
2651 SAGEBRUSH DR, SUITE #116, FLOWER MOUND, TX 75028-2733
(214) 513-8684

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT035900
TX

Other

Enumeration date
08/19/2008
Last updated
06/29/2012
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