Provider Demographics
NPI:1194071274
Name:COSTE, ANGELA MOREHOUSE (FNP-C)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MOREHOUSE
Last Name:COSTE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 CAMDEN ST STE 202
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78215-1644
Mailing Address - Country:US
Mailing Address - Phone:210-253-3426
Mailing Address - Fax:210-477-1808
Practice Address - Street 1:621 CAMDEN ST STE 202
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78215-1644
Practice Address - Country:US
Practice Address - Phone:210-253-3426
Practice Address - Fax:210-477-1808
Is Sole Proprietor?:No
Enumeration Date:2012-07-26
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX613571363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily