Organization
KRJ BILLING & PRACTICE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUELLA CASTELLANOS NRCCS (CEO)
(469) 426-8683
Entity
Organization
Contact information
Practice address
701 ALLEN RD, COPPELL, TX 75019-3144
(469) 426-8683
(469) 453-3411
Mailing address
PO BOX 618, COPPELL, TX 75019-0618
(469) 426-8683
(469) 453-3411
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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