Acosta, Antonio R

Acosta, Antonio R is an individual health care provider with primary practice located at 387 W Interstate 10 , Fort Stockton TX 79735-2708. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Acosta, Antonio R can be contacted via phone (432) 336-2004.

Contact Information

Primary practice address
387 W Interstate 10 Fort Stockton TX 79735-2708
Phone: (432) 336-2004
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 677410 Texas

Profile Details

NPI number 1508848839
LBN Legal business name Acosta, Antonio R
Credentials DNP, APRN, CRNA, NSP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Jan 22nd, 2024 - about 11 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508848839 NPPES
Texas MEDICAID 1710576-02

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