Brandon Omar Costilla
NPI #1992266126 in Stephenville, Texas
Provider Information
- NPI Number
- 1992266126
- Entity Type
- Individual
- Name
- Brandon Omar Costilla
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Vocational Nurse
- Enumeration Date
- Mar 29, 2019
- Last Updated
- Mar 29, 2019
Practice Location
- Address
- 2251 W LINGLEVILLE RD APT 24B
- City
- Stephenville
- State
- Texas
- ZIP Code
- 76401-6008
- Phone
- (325) 330-2294
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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