Individual
CODY P LACOSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3265 KOEHLER RD, SAN ANTONIO, TX 78234-7587
(210) 221-5033
Mailing address
3265 KOEHLER RD BLDG 1385, SAN ANTONIO, TX 78234-7587
(210) 221-5033
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
TX
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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