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NPI 1700018082

NPI 1700018082 : FRANK CASTILLON III, P.A. : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1700018082
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    Entity Type          |    Organization 
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    Legal Business Name  |    FRANK CASTILLON III, P.A. 
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Dates
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    Enumeration Date     |    08/20/2009
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    Last Update Date     |    01/03/2013
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Provider Practice Location Address
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    Address Line         |    10670 N CENTRAL EXPY STE 200
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75231-2141
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    Country              |    US
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    Telephone            |    214-660-5650
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    Fax                  |    214-987-1120
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Provider Business Mailing Address
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    Address Line         |    10670 N CENTRAL EXPY STE 200
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75231-2141
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    Country              |    US
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    Telephone            |    214-660-5650
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    Fax                  |    214-987-1120
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. FRANK  CASTILLON III
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    Credential           |    M.D.
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    Telephone            |    214-660-5650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207T00000X
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    Taxonomy Name        |    Neurological Surgery Physician
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    License Number       |    MO682
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    License Number State |    TX
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