Individual provider · NPI-1
Dorian David Acosta, OD
Optometrist · El Paso, TX
NPI number1992274278
StatusActive
Last updated in NPPESNov 18, 2022
Details
- NPI
- 1992274278
- Entity type
- Individual (NPI-1)
- Name
- Dorian David Acosta
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2018
- Certification date
- Nov 18, 2022
- Last updated
- Nov 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 9500TG | TX | Yes |
Practice location
750 Sunland Park DrEl Paso, TX 79912-6709
Phone 915-585-1928 · Fax 915-247-7877
Mailing address
750 Sunland Park DrEl Paso, TX 79912-6709
Phone 915-929-5201
Other practice locations
8401 Gateway Blvd W Spc F07b
El Paso, TX 79925-5668
El Paso, TX 79925-5668
Phone 915-771-7070 · Fax 915-247-7877
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