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NPI Code Detail

MEDICARE: JOSE ANGEL ACOSTA PA

MEDICARE:   JOSE ANGEL ACOSTA  PA
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
1363AM0700XMedical Physician AssistantPA01041TX

General Provider Information

NPI Number : 1720085434
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE ANGEL ACOSTA PA
Provider Business Mailing Address
First Line : 720 PLEASANTON RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78214-1306
Country : US
Telephone Number : 210-921-3800
Fax Number : 210-334-2851
Provider Business Practice Location Address
First Line : 720 PLEASANTON RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78214-1306
Country : US
Telephone Number : 210-921-3800
Fax Number : 210-334-2861
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 07/21/2022

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Directions to “ JOSE ANGEL ACOSTA PA” Practice Location

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