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NPI Code Detail

MEDICARE: MARIA JOSE CASTILLO

MEDICARE:   MARIA JOSE CASTILLO
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
1364SF0001XFamily Health Clinical Nurse Specialist1132840TX
2363L00000XNurse Practitioner1132840TX

General Provider Information

NPI Number : 1659156891
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA JOSE CASTILLO
Provider Business Mailing Address
First Line : 6445 MAIN ST STE 2600
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1502
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6551 BERTNER AVE FL WT15
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2807
Country : US
Telephone Number : 713-441-1450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2023
Last Update Date : 09/05/2024

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Directions to “ MARIA JOSE CASTILLO ” Practice Location

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