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Individual

DR. FERNANDO ANGEL CASTANEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K2319
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0052JE
BC BS #
05
102582704
TX
05
102582705
TX
Enumeration date
06/17/2005
Last updated
06/27/2024
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