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Costance Staten, DIRECTOR
NPI 1588822308 · on the registry since 2008 · sole proprietor
Practice
- Address
- 7000 Gulfshore
San Antono, TX 78244 - Phone
- (210) 707-7784
Registry record
- Primary taxonomy
- 310400000X
310400000X
- Also registered as
- 3104A0625X
3104A0630X - Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-05-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas