Organization
DIRECT MEDICAL TESTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES COSTELLO (DOCTOR)
(713) 695-6200
Entity
Organization
Contact information
Practice address
4615 I-45 NORTH FREEWAY STE# 208, HOUSTON, TX 77022
(713) 695-6200
Mailing address
4615 I-45 NORTH FREEWAY STE# 208, HOUSTON, TX 77022
(713) 695-6200
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
06/08/2007
Last updated
08/22/2020
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