Individual
VANESSA CRYSTAL COSTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4309 102ND ST, LUBBOCK, TX 79423
(806) 761-0747
(806) 761-0751
Mailing address
5219 CITY BANK PKWY STE 35, LUBBOCK, TX 79407-3545
(806) 761-0333
(806) 785-7685
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
P5951
TX
Other
Enumeration date
05/13/2010
Last updated
09/23/2021
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