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Individual

DR. CANDICE LEE CASTRO

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3851 ROGER BROOKE DR, MCHE-QD / CREDENTIALS, FORT SAM HOUSTON, TX 78234-4501
(210) 295-4320
(210) 295-4317
Mailing address
2659 PEBBLE DAWN, SAN ANTONIO, TX 78232-4167
(210) 496-7923
(210) 295-4317

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
MD019578
TN

Other

Enumeration date
10/24/2005
Last updated
07/08/2007
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