CORY NATHAN COSTELLO


Address: 4800 Hedgcoxe Rd Ste 200, Plano, TX 75024-2402
Phone: 4698006120

CORY NATHAN COSTELLO (NPI# 1861560138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861560138
Entity Type Individual
Full Name CORY NATHAN COSTELLO
Credential M.D.
Practice Address 4800 Hedgcoxe Rd Ste 200
Plano
TX 75024-2402
Practice Telephone 4698006120
Practice Fax Number 4698006129
Mailing Telephone 4698006120
Mailing Fax Number 4698006129
Enumeration Date 2006-12-02
Last Update Date 2020-01-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine S3145 TX Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 34362 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX TEXAS MEDICAL BOARD S3145 01
TN STATE LICENSE 34362 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
550 Pope Ave, Munson Army Health Center, Ms. Cotton, Credentials, Fort Leavenworth, KS 660272332 9136846562

Other Providers CORY COSTELLO

NPI Name Taxonomy Address Enumeration
1477078244 Cory Lyn Costello Massage Therapist 1601 2nd Ave N Ste 516, Great Falls, MT 59401-3289 2017-08-13

Office Location

Street Address 4800 HEDGCOXE RD STE 200
City PLANO
State TX
Zip Code 75024-2402

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689294605 Seungeun Szczechowski Specialist/Technologist, Other 8308 Preston Rd Bldg 200, Suite 259, Plano, TX 75024 2020-04-20
1366080962 Eating Recovery Center of Texas, LLC Clinic/Center 5120 Legacy Dr, Plano, TX 75024 2019-12-13
1336786615 Regenerative Practitioners Group Preventive Medicine 8200 Preston Road Suite 100, Plano, TX 75024 2019-12-05
1033671771 Cvs Pharmacy Inc. Pharmacy 6125 Legacy Drive, Plano, TX 75024 2019-04-02
1902364581 Bayada Home Health Care, Inc. Home Health 5851 Legacy Circle, Fl 6, Suite 6052, Plano, TX 75024 2019-03-04
1881168052 Waking Up To Peace Solutions LLC Counselor 8105 Rasor Blvd, Ste 303, Plano, TX 75024 2019-01-21
1407325905 Fresenius Medical Care Willow Bend, LLC Clinic/Center 6823 Communications Pkwy Bldg A, Plano, TX 75024 2018-11-14
1265933378 Cody Jones Physical Therapist 7211 Preston Road, Plano, TX 75024 2018-02-23
1720587538 Sol Medical Massage Inc Massage Therapist 4666 Mcdermott Rd Suite 100, Plano, TX 75024 2018-02-07
1447768726 Thelma Franco Counselor 5151 Headquarters Dr Ste 155, Plano, TX 75024 2018-01-20
Find all providers in zip 75024

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427671981 Staying Healthy Wellness LLC Family Medicine 4700 Dexter Dr Ste 300b, Plano, TX 75093-5294 2020-05-19
1124672811 Stephen Twyman Md Pllc Family Medicine 5700 Tennyson Pkwy Ste 300, Plano, TX 75024-3595 2019-07-30
1073008827 James D Cable Medical Pllc Family Medicine 6020 W Parker Rd Ste 425, Plano, TX 75093-8174 2018-06-25
1609389881 Nortex Integrated Medicine Pllc Family Medicine 1200 Coit Rd Ste 109, Plano, TX 75075-7756 2017-11-10
1124558861 Mw Wellness Vi, LLC Family Medicine 1921 Preston Rd Ste 2008, Plano, TX 75093-5200 2017-06-15
1013455443 Nortex Integrated Medicine Pllc - Dallas Series Family Medicine 7000 Preston Rd Ste 1500, Plano, TX 75024-2512 2017-02-06
1649720509 Stream Health Care Pa Family Medicine 280 Legacy Dr Ste 106, Plano, TX 75023-2315 2016-10-04
1588026330 Vora Physicians, Pllc Family Medicine 1360 Star Ct, T1, Plano, TX 75074-7353 2016-03-22
1538543178 Shssjv1 LLC Family Medicine 6400 Pinecrest Dr, Ste 300, Plano, TX 75024-2960 2015-07-14
1942606736 Ntx Catalyst Health Network Inc Family Medicine 5212 Tennyson Pkwy, Suite 100, Plano, TX 75024-4211 2014-11-06
Find all providers in PLANO

Competitor

Search similar providers

City PLANO
Zip Code 75024

Improve Information

Please comment or provide details below to improve the information on CORY NATHAN COSTELLO.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches