Search › Texas › 164X00000X
Brandon Costilla
NPI 1992266126 · on the registry since 2019
Practice
- Address
- 2251 W Lingleville Rd Apt 24b
Stephenville, TX 76401 - Phone
- (325) 330-2294
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-03-29
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