Organization
MARK J COSSENTINO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J COSSENTINO M.D. (PHYSICIAN)
(915) 328-4793
Entity
Organization
Contact information
Practice address
1700 CURIE DR, 4800, EL PASO, TX 79902-2905
(915) 328-4793
(915) 591-9215
Mailing address
1700 CURIE DR, 4800, EL PASO, TX 79902-2905
(915) 328-4793
(915) 591-9215
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
M9935
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M9935
TEXAS MEDICAL LICENSE
TX
Enumeration date
02/04/2010
Last updated
02/04/2010
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