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Individual

MR. JESUS I. CASTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPSGT

Contact information

Practice address
2600 SOUTH FIRST STREET (HSC), POLYSOMNOGRAPHY, TEMPLE, TX 76504
(254) 298-8673
Mailing address
307 E MAIN ST, FLORENCE, TX 76527-4048
(254) 291-6085

Taxonomy

Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
13841
VA
2471V0105X
Vascular Sonography Radiologic Technologist
135254
MD
247200000X
Other Technician
1344-5635
KS

Other

Enumeration date
02/10/2012
Last updated
07/10/2025
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