Individual
FERMIN CRUZ CASTELLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-AG
Contact information
Practice address
300 WILLOW CREEK PKWY STE 200, PALESTINE, TX 75801-4433
(903) 221-0138
(903) 221-0137
Mailing address
1004 W REAGAN ST, PALESTINE, TX 75801-2276
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1169544
TX
Other
Enumeration date
07/23/2024
Last updated
11/27/2024
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