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NPI Code Detail

MEDICARE: SYBIL ACOSTA

MEDICARE:   SYBIL  ACOSTA
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
1122300000XDentist7267977ZZ

General Provider Information

NPI Number : 1992108492
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYBIL ACOSTA
Provider Business Mailing Address
First Line : 409 EAST CALIFORNIA AVE. DOWNSTAIRS
Second Line :
City : EL PASO
State : TX
Zip : 79902
Country : US
Telephone Number : 915-603-4074
Fax Number :
Provider Business Practice Location Address
First Line : 409 EAST CALIFORNIA AVE. DOWNSTAIRS
Second Line :
City : EL PASO
State : TX
Zip : 79902-1538
Country : US
Telephone Number : 915-603-4074
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2014
Last Update Date : 09/29/2014

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Directions to “ SYBIL ACOSTA ” Practice Location

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