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General NPI Number Information
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NPI Number | 1346776309
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Entity Type | Individual
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Provider Name | MARTHA LILIANA CASTRO M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 4747 BELLAIRE BLVD
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City | BELLAIRE
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State | TX
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Zip | 77401-4527
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Country | US
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Telephone | 713-622-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 4747 BELLAIRE BLVD STE 101
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City | BELLAIRE
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State | TX
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Zip | 77401-4515
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Country | US
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Telephone | 732-882-4942
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | T6853
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | T6853
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MA11708500
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License Number State | NJ
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