Individual
AMBER DAWN COSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5430 FREDERICKSBURG RD, SUITE 508, SAN ANTONIO, TX 78229-3539
(210) 614-5539
(210) 614-5548
Mailing address
5430 FREDERICKSBURG RD, SUITE 508, SAN ANTONIO, TX 78229-3539
(210) 614-5539
(210) 614-5548
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08687
TX
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
11/01/2013
Last updated
09/02/2016
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