Individual
CARLOS ALBERTO ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
614 E EMMA AVE, SUITE 300, SPRINGDALE, AR 72764-4634
(479) 751-7417
(479) 751-4898
Mailing address
525 N GARLAND AVE, FAYETTEVILLE, AR 72701-3110
(479) 751-7417
(479) 751-4898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL29807
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298074
—
SC
Enumeration date
06/19/2007
Last updated
04/05/2022
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