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Individual

JON CURTIS CASTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1105 N UNIVERSITY DR, NACOGDOCHES, TX 75961-4211
(936) 560-5437
(936) 560-1341
Mailing address
PO BOX 631624, NACOGDOCHES, TX 75963-1624
(936) 560-5437
(936) 560-1341

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J2526
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134548007
TX
01
8978J0
MEDICARE
TX
Enumeration date
04/28/2006
Last updated
12/01/2011
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