Individual
DAVID MARIN COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
44835
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
339090801
—
TX
Enumeration date
06/11/2014
Last updated
01/05/2015
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