Individual
JORGE ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10201 GATEWAY BLVD W STE 100, EL PASO, TX 79925-7647
(915) 250-0220
(915) 250-0632
Mailing address
10201 GATEWAY BLVD W STE 100, EL PASO, TX 79925-7647
(915) 250-0220
(915) 250-0632
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L6246
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166864201
—
TX
Enumeration date
04/21/2006
Last updated
10/16/2024
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