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Organization

NEW BEGINNINGS SURGICAL GROUP, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MANUEL E. CASTRO M.D. (PRESIDENT)
(214) 948-0475
Entity
Organization

Contact information

Practice address
221 W COLORADO BLVD, PAV II STE#740, DALLAS, TX 75208-2363
(214) 948-0475
(214) 948-6198
Mailing address
PO BOX 27258, EL PASO, TX 79926-7258
(214) 948-0475
(214) 948-6198

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J6897
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00X705
MEDICARE GROUP PTAN
TX
01
00Z666
MEDICARE GROUP PTAN
TX
05
190066401
TX
05
1973307
TX
Enumeration date
02/06/2007
Last updated
03/04/2010
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