Individual
DR. JOHN LOUIS COSCIA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
E3886
TX
2085R0001X
Radiation Oncology Physician
E3886
TX
2085R0202X
Diagnostic Radiology Physician
Primary
E3886
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138014914
—
TX
01
—
300044074
RAILROAD MEDICARE
TX
01
—
8BV240
BLUECROSS BLUESHIELD OF TEXAS
TX
Enumeration date
09/28/2006
Last updated
11/19/2013
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