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General NPI Number Information
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NPI Number | 1659668051
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Entity Type | Organization
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Legal Business Name | CHRISTINE C CASTILLO ASSOCIATES PLLC
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Dates
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Enumeration Date | 07/06/2011
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Last Update Date | 07/06/2011
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Provider Practice Location Address
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Address Line | 12710 W. LAKE HOUSSTON PARKWAY SUITE F
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City | HOUSTON
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State | TX
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Zip | 77044
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Country | US
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Telephone | 281-436-1800
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Fax | 832-934-1161
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Provider Business Mailing Address
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Address Line | 12710 W. LAKE HOUSSTON PARKWAY SUITE F
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City | HOUSTON
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State | TX
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Zip | 77044
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Country | US
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Telephone | 281-436-1800
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Fax | 832-934-1161
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Authorized Official
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Title or Position | OWNER/OD
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Name | ANNIE HSU
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Credential | O.D.
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Telephone | 281-436-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6646TG
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License Number State | TX
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