Organization
CASTLE HILLS FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL LUIS MERCADO D.D.S (GENERAL DENTIST/OWNER)
(210) 732-4570
Entity
Organization
Contact information
Practice address
1931 NW MILITARY HWY, SUITE 225, SAN ANTONIO, TX 78213-2153
(210) 732-4570
(210) 732-4572
Mailing address
1931 NW MILITARY HWY, SUITE 225, SAN ANTONIO, TX 78213-2153
(210) 732-4570
(210) 732-4572
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17101
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136341809
—
TX
01
—
1376774851
NPI
TX
05
—
180123502
—
TX
Enumeration date
11/09/2009
Last updated
07/18/2014
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