| Luis D. Acosta M.d.p.a. | |
|
1201 N Mesa St Suite E El Paso TX 79902-4517 | |
| (915) 541-1166 | |
| (915) 541-1175 |
| Full Name | Luis D. Acosta M.d.p.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1201 N Mesa St, El Paso, Texas |
| Authorized Official Name and Position | Luis David Acosta (M.D.P.A.) |
| Authorized Official Contact | 9155411166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis D. Acosta M.d.p.a. 1201 N Mesa St Suite E El Paso TX 79902-4517 Ph: (915) 541-1166 | Luis D. Acosta M.d.p.a. 1201 N Mesa St Suite E El Paso TX 79902-4517 Ph: (915) 541-1166 |
| NPI Number | 1477833754 |
|---|---|
| Provider Enumeration Date | 08/18/2011 |
| Last Update Date | 02/16/2012 |
| Medicare PECOS PAC ID | 9436328929 |
|---|---|
| Medicare Enrollment ID | O20110818000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477833754 | NPI | - | NPPES |
| 115276101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | J3713 (Texas) | Primary |
| Provider Name | Luis D Acosta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235140997 PECOS PAC ID: 1557385085 Enrollment ID: I20060123000886 |
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