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NPI Code Detail

MEDICARE: PATRICIA CASTRO AGACNP

MEDICARE: PATRICIA CASTRO AGACNP
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
1363L00000XNurse PractitionerAP145944TX

General Provider Information

NPI Number : 1477175297
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA CASTRO AGACNP
Provider Business Mailing Address
First Line : 4501 N MESA ST
Second Line :
City : EL PASO
State : TX
Zip : 79912-6101
Country : US
Telephone Number : 915-533-5600
Fax Number :
Provider Business Practice Location Address
First Line : 4501 N MESA ST
Second Line :
City : EL PASO
State : TX
Zip : 79912-6101
Country : US
Telephone Number : 915-533-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2020
Last Update Date : 09/01/2020

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Directions to “ PATRICIA CASTRO AGACNP” Practice Location

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