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LUIS ENRIQUE MALPICA CASTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
S5695
TX
390200000X
Student in an Organized Health Care Education/Training Program
TRN20548
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
414600301
TX
01
414600302
OTHER CSHCN TPI
TX
Enumeration date
06/20/2014
Last updated
10/12/2020
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