Individual
DR. OMETEOTL M ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
502 MADISON OAK DR STE 210, SAN ANTONIO, TX 78258-4192
(210) 481-3000
Mailing address
PO BOX 2271, SAN ANTONIO, TX 78298-2271
(210) 481-3000
(210) 481-3222
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
N9016
TX
Other
Enumeration date
11/06/2007
Last updated
04/23/2021
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