Organization
COSTA CONSULTANTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J MICHAEL BENNETT (MANAGING MEMBER)
(713) 532-7311
Entity
Organization
Contact information
Practice address
4200 TWELVE OAKS DR, HOUSTON, TX 77027-6812
(713) 621-5010
Mailing address
4690 SWEETWATER BLVD STE 240, SUGAR LAND, TX 77479-3479
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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