| Antonio R Acosta, DNP, APRN, CRNA, NSP | |
|
387 W Interstate 10, Fort Stockton, TX 79735-2708 | |
| (432) 336-2004 | |
| Not Available |
| Full Name | Antonio R Acosta |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 387 W Interstate 10, Fort Stockton, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508848839 | NPI | - | NPPES |
| 1710576-02 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 677410 (Texas) | Primary |
| Entity Name | Pecos County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457307175 PECOS PAC ID: 0446160733 Enrollment ID: O20041122000269 |
| Entity Name | Digestive & Liver Center, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851385827 PECOS PAC ID: 1355307299 Enrollment ID: O20041202000851 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614 |
| Entity Name | Teleios Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871985929 PECOS PAC ID: 4688982580 Enrollment ID: O20160418001233 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
| Entity Name | Pecos County Memorial Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386400232 PECOS PAC ID: 3173977477 Enrollment ID: O20240403002215 |
| Mailing Address | Practice Location Address |
|---|---|
| Antonio R Acosta, DNP, APRN, CRNA, NSP 9934 Hubble Dr, Iowa Colony, TX 77583-1503 Ph: (832) 920-6451 | Antonio R Acosta, DNP, APRN, CRNA, NSP 387 W Interstate 10, Fort Stockton, TX 79735-2708 Ph: (432) 336-2004 |