Costello Clinic, P.A. in Lewisville - Adult Mental Health
Costello Clinic, P.A. - NPI 1619073228
Costello Clinic, P.A. is a Adult Mental Health in Lewisville, Texas. Costello Clinic, P.A. practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for Costello Clinic, P.A. is 1619073228. The last update date is 2020-08-22.
Costello Clinic, P.A.'s current location address is 131 Degan Ave, Lewisville, Texas. You can contact this provider via phone number 9722217006 and fax number 9723535081. The mailing address for Costello Clinic, P.A. is 131 Degan Ave, Lewisville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Costello Clinic, P.A. |
|---|---|
| Address | 131 Degan Ave, Lewisville, Texas |
| Phone Number | 9722217006 |
| Fax Number | 9723535081 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Costello E Louis |
| Credentials | M.D. |
| Telephone Number | 9722217006 |
NPI Number Detail
| NPI Number | 1619073228 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 131 Degan Ave |
|---|---|
| City | Lewisville |
| State | Texas (TX) |
| Post Code | 750573622 |
| Phone Number | 9722217006 |
| Fax Number | 9723535081 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Mental Health |
|---|---|
| Taxonomy | 261Qm0850X |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Costello Clinic, P.A. by the Centers for Medicare & Medicaid Services?
The Costello Clinic, P.A. has been issued the NPI (National Provider Identifier) 1619073228, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Costello Clinic, P.A.?
The Costello Clinic, P.A. is physically situated at 131 Degan Ave, in the city of Lewisville, state of TX, with the postal code 750573622.
What is Costello Clinic, P.A.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Costello Clinic, P.A.'s area of specialization is Adult Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 261Qm0850X.
On what date did the Costello Clinic, P.A. receive the assignment of its 1619073228 from the Centers for Medicare & Medicaid Services?
The Costello Clinic, P.A. was issued its 1619073228 by the Centers for Medicare & Medicaid Services on 2006-09-15.
When was the information related to Costello Clinic, P.A. most recently updated or refreshed?
The details pertaining to the Costello Clinic, P.A., including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.