| Henry Costa, MD, PA | |
|
10555 Vista Del Sol Dr Ste 120 El Paso TX 79925-7942 | |
| (915) 590-6770 | |
| (915) 590-6624 |
| Full Name | Henry Costa, MD, PA |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 10555 Vista Del Sol Dr, El Paso, Texas |
| Authorized Official Name and Position | Henry Costa (PRESIDENT) |
| Authorized Official Contact | 9155926868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry Costa, MD, PA 7812 Gateway Blvd E Ste 200 El Paso TX 79915-1803 Ph: (915) 592-6868 | Henry Costa, MD, PA 10555 Vista Del Sol Dr Ste 120 El Paso TX 79925-7942 Ph: (915) 590-6770 |
| NPI Number | 1871699157 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 09/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871699157 | NPI | - | NPPES |
| DF4091 | Other | RAILROAD MEDICARE | |
| 116754606 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | () | Primary |
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