Costa, Dennis James
Costa, Dennis James is an individual health care provider with primary practice located at 2790 Lake Vista Dr , Lewisville TX 75067-3884. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Costa, Dennis James can be contacted via phone (972) 459-1300.Contact Information
Primary practice address
2790 Lake Vista Dr
Lewisville TX 75067-3884
Phone: (972) 459-1300
Fax: (972) 459-1382
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | H5160 | Texas |
Profile Details
NPI number | 1083652291 |
---|---|
LBN Legal business name | Costa, Dennis James |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2006 |
Last updated | Aug 25th, 2017 - about 7 years 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083652291 | NPPES |
Texas | MEDICAID | 137791311 | |
Texas | MEDICAID | 137791309 | |
Texas | MEDICAID | 137791305 | |
Texas | Other | 8R1416 | |
Texas | MEDICAID | 137791304 | |
Texas | MEDICAID | 137791308 | |
Texas | MEDICAID | 137791303 | |
Texas | MEDICAID | 137791301 | |
Texas | MEDICAID | 137791307 | |
Texas | MEDICAID | 137791306 |
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