Costa, Henry
Costa, Henry is an sole proprietor health care provider with primary practice located at 10555 Vista Del Sol Dr Ste 120, El Paso TX 79925-7942. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Costa, Henry can be contacted via phone (915) 592-6868.Contact Information
Primary practice address
10555 Vista Del Sol Dr Ste 120
El Paso TX 79925-7942
Phone: (915) 592-6868
Fax: (915) 592-6889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | K0009 | Texas |
Profile Details
| NPI number | 1134125651 |
|---|---|
| LBN Legal business name | Costa, Henry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Sep 3rd, 2010 - about 15 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 | 1134125651 | NPPES |
| Texas | MEDICAID | 116754606 | |
| Texas | Other | 00W602 | |
| Texas | Other | DF4091 |
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