Individual
CODY CASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1103 EDEN DR, LONGVIEW, TX 75605-3114
(903) 578-0887
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3146
(817) 321-0404
(817) 321-0486
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP134335
TX
Other
Enumeration date
04/13/2017
Last updated
02/07/2020
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