Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mb Costello Enterprises LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1982996567

Mb Costello Enterprises LLC is a Pain Medicine (Anesthesiology) Physician in Jackson, Mississippi. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1501 Lakeland Dr Ste 251
Jackson, MS 39216-4848
Phone: (601) 321-8000
Fax: (601) 321-8001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1982996567
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Costello — Franchisee · (404) 354-3111
Other names Pca Pain Care Center
NPI enumeratedMay 13, 2011
Last updated in NPPESSeptember 29, 2011
Mailing address1501 Lakeland Dr, Suite 251, Jackson, MS 39216-4834

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