Individual
BIANCA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
320 N WILLIAMS RD, SAN BENITO, TX 78586
(956) 361-5009
(956) 361-4539
Mailing address
320 N WILLIAMS RD, SAN BENITO, TX 78586-4118
(956) 361-5009
(956) 361-4539
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07265
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780963405
—
TX
Enumeration date
08/11/2011
Last updated
02/26/2019
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