Organization
WOMEN'S WELLNESS & HEALTHCARE CLINIC
Active
Parent organization
WOMEN'S WELLNESS & HEALTHCARE CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WOMEN'S WELLNESS & HEALTHCARE CLINIC
Authorized official
DR. RICARDO CASTILLON M.D. (OWNER)
(956) 753-7600
Entity
Organization
Contact information
Practice address
1710 E. SAUNDERS, SUITE A200, LAREDO, TX 78041-2213
(956) 753-7600
(956) 753-7800
Mailing address
1710 E. SAUNDERS, SUITE A200, LAREDO, TX 78041-2213
(956) 753-7600
(956) 753-7800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K9748
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030ER
BLUE CROSS BLUE SHIELD
TX
05
—
0796211-01
—
TX
Enumeration date
04/04/2006
Last updated
03/11/2011
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