Organization
PERFORMA PHYSICAL MEDICINE AND WELLNESS
Active
Organization
PERFORMA PHYSICAL MEDICINE AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER LAURENCE CASTRO MD (PHYSICIAN)
(303) 845-2392
Entity
Organization
Contact information
Practice address
6435 S FM 549 STE 102, ROCKWALL, TX 75032-6221
(303) 845-2392
Mailing address
1244 HIGHLAND PL, ERIE, CO 80516-7918
(303) 845-2382
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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