Individual
DR. DENNIS JAMES COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2790 LAKE VISTA DR, LEWISVILLE, TX 75067-3884
(972) 459-1300
(972) 459-1382
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
H5160
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137791301
—
TX
05
—
137791303
—
TX
05
—
137791304
—
TX
05
—
137791305
—
TX
05
—
137791306
—
TX
05
—
137791307
—
TX
05
—
137791308
—
TX
05
—
137791309
—
TX
05
—
137791311
—
TX
01
—
8R1416
BLUE CROSS OF TEXAS
TX
Enumeration date
06/02/2006
Last updated
08/25/2017
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