ALVIN COSTALES

ODESSA, TX
NPI1467943068
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: TX  1299740)
Enumeration Date2018-05-21
Last Update Date2018-05-21
Business Address
Mr. ALVIN COSTALES
918 W 20TH ST
ODESSA, TX 79763-2860
Phone number: 240-437-8211
Mailing Address
Mr. ALVIN COSTALES
918 W 20TH ST
ODESSA, TX 79763-2860
Phone number: 240-437-8211
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