Individual
EDUARDO D CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 COOPER ST STE 100B, FORT WORTH, TX 76104-2528
(817) 924-9002
(817) 924-9960
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 924-9960
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
M1568
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173827001
—
TX
01
—
P00234425
RAILROAD MEDICARE
—
Enumeration date
07/17/2006
Last updated
09/13/2019
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