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Search › Texas › 225200000X

Brant Costilla, PTA

NPI 1316554595 · on the registry since 2020

Practice

Address
2112 Forum Pkwy
Bedford, TX 76021
Phone
(817) 799-4909
Organisation at this address
Winnie-Stowell Hospital District
Winnie-Stowell Hospital District
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-09-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas