Costilla, Vanessa Crystal
Costilla, Vanessa Crystal is an individual health care provider with primary practice located at 4309 102Nd St , Lubbock TX 79423. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Costilla, Vanessa Crystal can be contacted via phone (806) 761-0747.Contact Information
Primary practice address
4309 102Nd St
Lubbock TX 79423
Phone: (806) 761-0747
Fax: (806) 761-0751
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | P5951 | Texas |
Profile Details
| NPI number | 1952629065 |
|---|---|
| LBN Legal business name | Costilla, Vanessa Crystal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2010 |
| Last updated | Sep 23rd, 2021 - about 4 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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