Individual
EDWARD O CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1910 UNIVERSITY DR, RICHARDSON, TX 75081-3921
(972) 859-0378
Mailing address
1910 UNIVERSITY DR, RICHARDSON, TX 75081-3921
(972) 859-0378
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
752251976
TAX ID
TX
Enumeration date
07/21/2010
Last updated
07/28/2010
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