Individual
DR. DARRICK LAVONE CASTLEBERRY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4429 GRIGGS RD STE A, HOUSTON, TX 77021-2852
(713) 842-2500
(713) 842-4224
Mailing address
4429 GRIGGS RD STE A, HOUSTON, TX 77021-2852
(713) 842-2500
(713) 842-4224
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19513
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090849313
—
TX
Enumeration date
08/10/2006
Last updated
03/13/2012
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