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Individual
MR. MICHAEL CASTRO
Active
Individual
MR. MICHAEL CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
8683T
TX
152W00000X
Optometrist
Primary
8683TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770870883
GROUP NPI
TX
01
—
1841675360
INDIVIDUAL NPI
TX
Enumeration date
07/26/2015
Last updated
09/02/2021
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