Individual
CORINA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
725 N AUSTIN ST, SAN BENITO, TX 78586-5301
(956) 778-7898
Mailing address
725 N AUSTIN ST, SAN BENITO, TX 78586-5301
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
115150
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790847531
—
TX
Enumeration date
04/24/2019
Last updated
04/08/2020
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