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NPI Code Detail

MEDICARE: CHRISEVELLE LEIGH CASTELO HELLER PA-C

MEDICARE:   CHRISEVELLE LEIGH CASTELO HELLER  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA14625TX

General Provider Information

NPI Number : 1255975496
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISEVELLE LEIGH CASTELO HELLER PA-C
Provider Business Mailing Address
First Line : 1102 BATES AVE # MS 1120
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2617
Country : US
Telephone Number : 832-824-4330
Fax Number :
Provider Business Practice Location Address
First Line : 1102 BATES AVE # MS 1120
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2698
Country : US
Telephone Number : 832-824-4330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2019
Last Update Date : 02/05/2026

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Directions to “ CHRISEVELLE LEIGH CASTELO HELLER PA-C” Practice Location

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