Costilla, Brandon Omar

Costilla, Brandon Omar is an individual health care provider with primary practice located at 2251 W Lingleville Rd Apt 24B , Stephenville TX 76401-6008. He recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as his primary health care specialty. Costilla, Brandon Omar can be contacted via phone (325) 330-2294.

Contact Information

Primary practice address
2251 W Lingleville Rd Apt 24B Stephenville TX 76401-6008
Phone: (325) 330-2294
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 337342 Texas

Profile Details

NPI number 1992266126
LBN Legal business name Costilla, Brandon Omar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2019
Last updated Mar 29th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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