Organization Name: | T A CASTOLDI & ASSOCIATES |
NPI Number: | 1366752453 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PRISCELLA M HERRERA (CMA) |
Mailing Address: | 310 Stagecoach Trl Suite 200 B San Marcos |
State: | TX US |
Postal Code: | 786665134 |
Phone Number: | 5123965300 |
Fax Number: | 5123965380 |
NPI Enumeration Date: | 10/07/2010 |
NPI Last Update Date: | 01/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D6392 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |