OrganizationActive
Mb Costello Enterprises LLC
NPI 1982996567 · Pain Medicine (Anesthesiology) Physician · Jackson, MS
Provider details
- NPI number
- 1982996567
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Bruce Costello, Franchisee
Practice location
1501 Lakeland Dr Ste 251
Jackson, MS 39216-4848
Phone: (601) 321-8000
Fax: (601) 321-8001
Mailing address
1501 Lakeland Dr
Jackson, MS 39216-4834
Registry dates
- Enumerated
- 2011-05-13
- Last updated
- 2011-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.