Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Dacosta, MD

Individual provider Family Medicine Physician · NPI 1255919965

Mary Dacosta, MD is a Family Practice in Alice, Texas. Qualified in 2021, 5 years ago. Practices with Sanford Health Network, a 364-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Texas.

Years since qualifying
5
Licensed in
MN, TX
In the registry since
2021
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2510 E Main St Ste 102
Alice, TX 78332-4188
Phone: (361) 664-4445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3301 Matlock Rd, Arlington, TX 76015-2908 — (682) 509-6200

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence V2049 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence 79645 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255919965
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2021
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing address3301 Matlock Rd, Arlington, TX 76015-2908

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sanford Health Network — 364 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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