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NPI 1780747279

NPI 1780747279 : CHRISTINE CASTILLO O.D. : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1780747279
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINE CASTILLO O.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/18/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    6737 STELLA LINK RD 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77005-4342
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    Country              |    US
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    Telephone            |    713-432-1137
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    Fax                  |    713-660-9909
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Provider Business Mailing Address
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    Address Line         |    7487 BROMPTON ST 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77025-2265
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    Country              |    US
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    Telephone            |    832-606-3464
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    6433TG
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    License Number State |    TX
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