Sarai Costa

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Hondo, TX

NPI 1619400355 · NPPES record last updated Apr 10, 2017

Key facts

NPI
1619400355
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1507 Avenue U
Hondo, TX 78861-1636
Phone
(210) 548-3212
NPI assigned
Apr 10, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1507 Avenue U
Hondo, TX 78861-1636

Mailing address

1507 Avenue U
Hondo, TX 78861-1636
Phone (210) 548-3212

Other providers in Hondo, TX

All providers in Hondo, TX · Student in an Organized Health Care Education/Training Program in Texas

Sources for this page

Verify at the official NPI Registry.