Individual provider · Type 1 NPI

Kathleen Costello, MD

Pediatric Emergency Medicine (Pediatrics) Physician · Dallas, TX

NPI number 1891180550 Active

Practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7701

Fax (214) 456-8132

Mailing address

PO Box 845347
Dallas, TX 75284-5347

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204XR6168 (TX)
Pediatrics Physician 208000000XR6168 (TX)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1891180550

Kathleen Costello, MD's National Provider Identifier is 1891180550, issued on Mar 31, 2015. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Dallas, TX. The record was last updated on Jul 27, 2021.