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Individual

DR. LOURDES MARIA COSTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
4412 NORTH FWY, HOUSTON, TX 77022-3606
(713) 884-8114
(713) 699-0191
Mailing address
PO BOX 920593, HOUSTON, TX 77292-0593
(713) 884-8114

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5202T
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
917354
BLOCK VISION
TX
01
919239
EYEMED
TX
05
PO81175E5
TX
Enumeration date
10/18/2006
Last updated
08/22/2015
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