Doctor Name: | ROBERT SAUL CASTRO |
NPI Number: | 1407919269 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 4301065570 |
Business Practice Address: | 1631 A East Hwy 66 El Reno, OK - 73036 |
Business Phone Number: | 4052627631 |
Business Fax Number: | 4052628099 |
Mailing Address: | 11509 Nw 6th St, YUKON |
State: | OK |
Postal Code: | 730996568 |
Phone Number: | 4052627631 |
Fax Number: | 4052628099 |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301065570 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |