Individual
DR. DENNIS JAMES COSTA
Active
Individual
DR. DENNIS JAMES COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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