Organization
COLIN CASTLEBERRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE B CASTLEBERRY III O.D. (PRESIDENT)
(940) 691-0224
Entity
Organization
Contact information
Practice address
3111 MIDWESTERN PKWY, SUITE 256A, WICHITA FALLS, TX 76308-2823
(940) 691-0224
(940) 691-0225
Mailing address
3111 MIDWESTERN PKWY, SUITE 256A, WICHITA FALLS, TX 76308-2823
(940) 691-0224
(940) 691-0225
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5767TG
TX
Other
Enumeration date
12/12/2007
Last updated
07/29/2010
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