Healthcare Provider Details

I. General information

NPI: 1497296347
Provider Name (Legal Business Name): PABLO CASTANEDA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2017
Last Update Date: 01/05/2024
Certification Date: 01/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 FANNIN ST FL 6
HOUSTON TX
77030-2608
US

IV. Provider business mailing address

6701 FANNIN ST FL 6
HOUSTON TX
77030-2608
US

V. Phone/Fax

Practice location:
  • Phone: 832-822-3100
  • Fax:
Mailing address:
  • Phone: 832-822-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number287786
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License Number287786
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: