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Individual

DR. HARVEY 1 CASTRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
720 N DENTON TAP RD, COPPELL, TX 75019-2162
(469) 649-7006
(469) 649-7009
Mailing address
1845 PRECINCT LINE RD, STE 107, HURST, TX 76054-3109
(469) 618-4959

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M3967
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MD427540
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11153521
NM
05
181625801
TX
05
181625802
TX
01
8BC201
BCBS
TX
01
8V2877
BCBS
TX
01
P003675737
MEDICARE RAILROAD
TX
Enumeration date
05/16/2006
Last updated
06/03/2020
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