Individual
DR. ALISA ANA ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
13311 HIGH STAR DR, HOUSTON, TX 77083-1907
(713) 252-5443
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
L9983
TX
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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