Individual
CANDICE DA COSTA - PANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6410 FANNIN ST, STE 500, HOUSTON, TX 77030-3000
(832) 325-6516
(713) 500-0653
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-5650
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP131407
TX
Other
Enumeration date
09/29/2016
Last updated
08/09/2021
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