Acosta, Carlos Ivan
Acosta, Carlos Ivan is an sole proprietor health care provider with primary practice located at 15851 Dallas Pkwy , Addison TX 75001-3369. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Acosta, Carlos Ivan can be contacted via phone (214) 267-9556.Contact Information
Primary practice address
15851 Dallas Pkwy
Addison TX 75001-3369
Phone: (214) 267-9556
Fax: (833) 457-1700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 94959 | Texas |
Profile Details
| NPI number | 1124869268 |
|---|---|
| LBN Legal business name | Acosta, Carlos Ivan |
| Credentials | MASTERS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2024 |
| Last updated | Jun 3rd, 2024 - about last year |
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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