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NPI Code Detail

MEDICARE: IRENE CUA CASTRO

MEDICARE: IRENE CUA CASTRO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician1035525TX

General Provider Information

NPI Number : 1154802684
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRENE CUA CASTRO
Provider Business Mailing Address
First Line : 3926 CLEAR CREEK CT
Second Line :
City : RICHARDSON
State : TX
Zip : 75082-5602
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 106 BELT LINE RD
Second Line :
City : GARLAND
State : TX
Zip : 75040-4104
Country : US
Telephone Number : 972-495-7701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2018
Last Update Date : 08/23/2018

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Directions to “ IRENE CUA CASTRO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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