Individual
MS. DEBBIE L COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
490 BUFFALO GULCH, BLANCO, TX 78606-4508
(830) 833-5011
Mailing address
PO BOX 900, BLANCO, TX 78606-0900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
639607
TX
163WH0200X
Home Health Registered Nurse
Primary
639607
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001992
—
TX
Enumeration date
10/12/2006
Last updated
02/01/2008
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