Provider Demographics
NPI:1942475397
Name:COSTE, FERDINAND LOUIS III (DO)
Entity Type:Individual
Prefix:DR
First Name:FERDINAND
Middle Name:LOUIS
Last Name:COSTE
Suffix:III
Gender:M
Credentials:DO
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Mailing Address - Street 1:1 CHILDRENS PL
Mailing Address - Street 2:NWT 8328 CB 8116
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1002
Mailing Address - Country:US
Mailing Address - Phone:314-454-2694
Mailing Address - Fax:314-454-2515
Practice Address - Street 1:1301 BARBARA JORDAN BLVD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-3077
Practice Address - Country:US
Practice Address - Phone:512-380-9200
Practice Address - Fax:512-380-9201
Is Sole Proprietor?:No
Enumeration Date:2008-04-28
Last Update Date:2023-05-19
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Provider Licenses
StateLicense IDTaxonomies
MO2008021976208000000X, 2080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILENROLLEDMedicaid