Organization
ELITE MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA KAE CASTILLA R.N, M.S.N. (SOLE PROPRIETOR)
(361) 358-1103
Entity
Organization
Contact information
Practice address
1236 FM 2824, BEEVILLE, TX 78102-8229
(361) 358-1103
Mailing address
PO BOX 189, BEEVILLE, TX 78104-0189
(361) 358-1103
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
M2475
TX
207RP1001X
Pulmonary Disease Physician
M2475
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179995901
—
TX
01
—
8J9455
BLUE CROSS / SHIELD
TX
Enumeration date
03/08/2011
Last updated
07/08/2011
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