Individual
MARCIANA CASTILLO TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN AGNP-C
Contact information
Practice address
137 N LHS DR STE B, LUMBERTON, TX 77657-8620
(409) 833-9797
(409) 654-6946
Mailing address
2929 CALDER ST STE 100, BEAUMONT, TX 77702-1841
(409) 833-9797
(409) 654-6886
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP134015
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381624101
—
TX
Enumeration date
01/02/2018
Last updated
09/19/2018
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