Individual
MARIA JOSE CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6551 BERTNER AVE FL WT15, HOUSTON, TX 77030-2807
(713) 441-1450
Mailing address
6445 MAIN ST STE 2600, HOUSTON, TX 77030-1502
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1132840
TX
364SF0001X
Family Health Clinical Nurse Specialist
1132840
TX
Other
Enumeration date
08/28/2023
Last updated
09/05/2024
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