Costello Clinic, P.a.
NPI #1619073228 in Lewisville, Texas
Provider Information
- NPI Number
- 1619073228
- Entity Type
- Organization
- Organization Name
- Costello Clinic, P.a.
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Sep 15, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 131 DEGAN AVE
- Address 2
- SUITE 105
- City
- Lewisville
- State
- Texas
- ZIP Code
- 75057-3622
- Phone
- (972) 221-7006
Authorized Official
- Name
- LOUIS E COSTELLO, M.D.
- Title
- PRESIDENT
- Phone
- (972) 221-7006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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