Individual
CARLA CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EIS
Contact information
Practice address
120 E HOSPITAL DR, ANGLETON, TX 77515-4112
(979) 849-2447
(979) 848-8337
Mailing address
120 E HOSPITAL DR, ANGLETON, TX 77515-4112
(979) 849-2447
(979) 848-8337
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237441833
EIS
TX
Enumeration date
08/30/2018
Last updated
08/30/2018
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