Individual
MARIANA CASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1719 8TH AVE, FORT WORTH, TX 76110-1349
(682) 885-4063
(682) 885-1878
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
81136
TX
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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