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Individual
WESLEY L CASTLE
Active
Individual
WESLEY L CASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
001130
IA
363A00000X
Physician Assistant
Primary
PA04931
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y8942
BCBS OF TEXAS
TX
01
—
P00075075
RR MEDICARE
IA
01
—
P00128999
RR MEDICARE
IA
01
—
TIN PLUS 021
TRICARE
TX
Enumeration date
05/22/2006
Last updated
10/10/2014
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