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NPI Code Detail

MEDICARE: DANELIA CASTELLON MD

MEDICARE:   DANELIA  CASTELLON  MD
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
1207Q00000XFamily Medicine PhysicianN4328TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NM302858OTHERNMINDIVIDUAL PTAN

General Provider Information

NPI Number : 1760672737
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANELIA CASTELLON MD
Provider Business Mailing Address
First Line : 412 TELEPHONE RD
Second Line :
City : HOUSTON
State : TX
Zip : 77023-1840
Country : US
Telephone Number : 713-660-1880
Fax Number : 713-926-9105
Provider Business Practice Location Address
First Line : 412 TELEPHONE RD
Second Line :
City : HOUSTON
State : TX
Zip : 77023-1840
Country : US
Telephone Number : 713-660-1880
Fax Number : 713-926-9105
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2007
Last Update Date : 07/12/2016

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Directions to “ DANELIA CASTELLON MD” Practice Location

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