Individual
MISS BRENDA CONCEPCION ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3514 HIGHWAY 36 S, ROSENBERG, TX 77471-9115
(281) 814-9979
Mailing address
3514 HIGHWAY 36 S, ROSENBERG, TX 77471-9115
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37030
TX
390200000X
Student in an Organized Health Care Education/Training Program
TD-00-124
NM
Other
Enumeration date
04/23/2020
Last updated
07/21/2021
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