Individual
EFREM L. CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8637 FREDERICKSBURG RD, STE 360, SAN ANTONIO, TX 78240-1219
(210) 877-7669
(210) 617-4075
Mailing address
8637 FREDERICKSBURG RD, STE 360, SAN ANTONIO, TX 78240-1219
(210) 877-7669
(210) 617-4075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J4029
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB154545
WELLMED MEDICAL GROUP PA
—
Enumeration date
02/06/2006
Last updated
07/19/2012
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