Organization
OCULOFACIAL PLASTIC SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON CURTIS CASTER M.D. (OWNER/MD)
(936) 560-5437
Entity
Organization
Contact information
Practice address
1105 N UNIVERSITY DR, NACOGDOCHES, TX 75961-4211
(936) 560-5437
Mailing address
PO BOX 631624, NACOGDOCHES, TX 75963-1624
(936) 560-5437
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
J2526
TX
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
J2526
TX
Other
Enumeration date
01/22/2009
Last updated
12/01/2011
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