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Organization

ROBERT MANUEL CASTILLO

Active
Other names
Center Street Medical Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SONIA CRUZ (OFFICE ADMINISTRATOR)
(832) 788-8135
Entity
Organization

Contact information

Practice address
4302 CENTER STREET, HOUSTON, TX 77007-5616
(713) 869-4631
(713) 869-8148
Mailing address
PO BOX 70109, HOUSTON, TX 77270-0109
(713) 869-4631
(713) 869-8148

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G1817
TX
208D00000X
General Practice Physician
Primary
G1817
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
162706901
TX
05
162706902
TX
Enumeration date
02/20/2007
Last updated
07/23/2009
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