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Dr. John Joseph Costello, MD
Obstetrics & Gynecology Physician in Bastrop, Texas
NPI 1053418574

John Joseph Costello is a Obstetrics & Gynecology Physician based in Bastrop, TX. John Joseph Costello practices in Bastrop, TX and has the professional credentials of MD. The NPI Number for John Joseph Costello is 1053418574 and holds a License No. E4972 (Texas).

The current practice location address for John Joseph Costello is 81 Loop 150 W, Bastrop, TX and can be reached out via phone at 512-308-9100 and via fax at 512-581-5005.

Location: 81 Loop 150 W, Bastrop, TX, 78602-3930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053418574
Provider Name
John Joseph Costello
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
81 Loop 150 W, Bastrop, TX, 78602-3930
Phone Number
512-308-9100
Fax Number
512-581-5005
Provider Enumeration Date
09/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00T610 01 TX BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
81 Loop 150 W
City
Bastrop
State
Texas
Zip
78602-3930
Phone Number
512-308-9100
Fax Number
512-581-5005
person
Provider Business Mailing Address Details
Address
81 Loop 150 W
City
Bastrop
State
Texas
Zip
78602-3930
Phone Number
512-308-9100
Fax Number
512-581-5005
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
E4972 (Texas)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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