Individual
EVA MARIE CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 HILLCREST MEDICAL BLVD STE 100, WACO, TX 76712-8949
(254) 202-6100
(254) 202-6195
Mailing address
PO BOX 848491, DALLAS, TX 75284-8491
(254) 202-9330
(254) 202-9349
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
510960
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179360601
—
TX
Enumeration date
02/21/2007
Last updated
12/06/2021
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