Individual
LAVERNE ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3737 RED BLUFF RD, STE 150, PASADENA, TX 77503-3307
(713) 473-5180
Mailing address
301 UNIVERSITY BLVD, PROVIDER ENROLLMENT -- RT 1022, GALVESTON, TX 77555-5302
(409) 747-0890
(409) 747-1023
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
553655
TX
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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