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NPI Code Detail

MEDICARE: ANNETTE MARIE ACOSTA SLP

MEDICARE: ANNETTE MARIE ACOSTA SLP
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
1235Z00000XSpeech-Language Pathologist104157TX

General Provider Information

NPI Number : 1801050091
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNETTE MARIE ACOSTA SLP
Provider Business Mailing Address
First Line : 11177 PINK CORAL DR
Second Line :
City : EL PASO
State : TX
Zip : 79936-3005
Country : US
Telephone Number : 915-594-7807
Fax Number :
Provider Business Practice Location Address
First Line : 10450 BRIAN MOONEY AVE
Second Line :
City : EL PASO
State : TX
Zip : 79935-2809
Country : US
Telephone Number : 915-598-6616
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2008
Last Update Date : 07/16/2008

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Directions to “ ANNETTE MARIE ACOSTA SLP” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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