Individual
LUIS D ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 215-5900
(915) 215-5969
Mailing address
5130 GATEWAY BLVD EAST C.P., MSC 51015, EL PASO, TX 79905
(915) 215-4479
(915) 215-5386
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
J3713
TX
2084N0400X
Neurology Physician
Primary
J3713
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115276101
—
TX
Enumeration date
08/10/2006
Last updated
02/20/2024
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