Individual
WILFRED CASTRO-REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2608
(832) 828-3660
(832) 828-3660
Mailing address
11777 FM 1960 W, HOUSTON, TX 77065
(210) 832-1750
(832) 825-1717
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
G2114
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104301
SUPERIOR CHIPS
—
05
—
126357602
—
TX
01
—
126357603
CSHCN
TX
Enumeration date
06/17/2006
Last updated
05/06/2013
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