Individual
MR. BRYANT ANTHONY ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
609 W COURT ST STE B, WINNFIELD, LA 71483-2686
(318) 209-4646
(318) 209-4649
Mailing address
431 W LAFAYETTE ST, WINNFIELD, LA 71483-3463
(318) 648-0375
(318) 648-0378
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
PO835285
LA
363AM0700X
Medical Physician Assistant
Primary
PA.A10303.RX
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452602
—
LA
Enumeration date
02/19/2007
Last updated
07/21/2022
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