Individual
JORGE ISAAC CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
884 UNION STATION PKWY APT 1104, LEWISVILLE, TX 75057-5158
(254) 900-5475
Mailing address
884 UNION STATION PKWY APT 1104, LEWISVILLE, TX 75057-5158
(254) 900-5475
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2022
Last updated
02/04/2025
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