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Individual

ROBERTO CARLOS CASTRO VIVENES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 704-1000
Mailing address
12515 BARKER CYPRESS RD APT 4123, CYPRESS, TX 77429-8452

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
16-639

Other

Enumeration date
09/12/2018
Last updated
09/12/2018
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