Mary Dacosta, MD

NPI #1255919965 in Alice, Texas

Provider Information

NPI Number: 1255919965
Entity Type: Individual
Name: Mary Dacosta, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Apr 1, 2021
Last Updated: Jul 14, 2025

Practice Location

Address: 2510 E MAIN ST STE 102
City: Alice
State: Texas
ZIP Code: 78332-4188
Phone: (361) 664-4445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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