Individual
MRS. EDIE COSTLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST, CFA, LSA
Contact information
Practice address
3810 TIMBERLAKE DR, PLANO, TX 75023-7727
(214) 227-2457
(214) 764-0880
Mailing address
3810 TIMBERLAKE DR, PLANO, TX 75023-7727
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00062
TX
Other
Enumeration date
08/13/2006
Last updated
01/06/2023
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