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Individual

MAYGEN MICHELLE DEL CASTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R5716
TX
207RC0000X
Cardiovascular Disease Physician
Primary
R5716
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
428356601
TX
05
428356602
TX
Enumeration date
03/30/2015
Last updated
01/17/2023
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