MEDICARE: DANIEL COSTA GARCIA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0129X	Vascular Surgery Physician	S0862	TX
2	207RC0000X	Cardiovascular Disease Physician	S0862	TX
3	207RI0011X	Interventional Cardiology Physician	S0862	TX

General Provider Information

NPI Number	:	1043586159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL COSTA GARCIA M.D.

Provider Business Mailing Address
First Line	:	1835 HEWITT DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-4024
Country	:	US
Telephone Number	:	305-322-0626
Fax Number	:	877-559-7682

Provider Business Practice Location Address
First Line	:	2200 NORTH LOOP W STE 300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-1754
Country	:	US
Telephone Number	:	713-244-4134
Fax Number	:	833-449-5320

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2012
Last Update Date	:	12/09/2025

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