MARY DACOSTA

ALICE, TX
NPI1255919965
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  V2049)
Additional Taxonomies207Q00000X Family Medicine
(Licence: MN  79645)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-01
Last Update Date2025-07-14
Business Address
MARY DACOSTA MD
2510 E MAIN ST STE 102
ALICE, TX 78332-4188
Phone number: 361-664-4445
Mailing Address
MARY DACOSTA MD
3301 MATLOCK RD
ARLINGTON, TX 76015-2908
Phone number: 682-509-6200