Individual
LETICIA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5353 HARRY HINES BLVD, MC9063, DALLAS, TX 75390-7208
(214) 648-2228
(214) 648-2253
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(217) 648-2228
(214) 648-2253
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
41432
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175498801
—
TX
Enumeration date
10/17/2006
Last updated
10/22/2012
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