Individual provider · NPI-1

Tobias Cesar Acosta

Case Management · Oklahoma City, OK

NPI number1265758056
StatusActive
Last updated in NPPESApr 19, 2010

Details

NPI
1265758056
Entity type
Individual (NPI-1)
Name
Mr. Tobias Cesar Acosta
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 19, 2010
Last updated
Apr 19, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management21524OKYes

Practice location

420 Sw 10th St
Oklahoma City, OK 73109-5610

Phone 405-236-0701 · Fax 405-236-0737

Mailing address

709 Ben Ct
Yukon, OK 73099-6534

Phone 405-593-3241

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