Organization Name: | CLAUDIA CASTANO, MD, PA |
NPI Number: | 1629335815 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRANDI MICHELE GIBSON (PRACTICE MANAGER) |
Mailing Address: | 2000 Esters Rd 120 Irving |
State: | TX US |
Postal Code: | 750619531 |
Phone Number: | 9729867469 |
Fax Number: | 9727908270 |
NPI Enumeration Date: | 04/12/2012 |
NPI Last Update Date: | 04/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | K4647 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |