Individual
GRACE H. CASTRO-ANDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 N BRITAIN RD, IRVING HEALTH CENTER, IRVING, TX 75061-2630
(214) 266-3000
(214) 266-3049
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J7445
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110200810
RAILROAD MEDICARE
TX
05
—
138908201
—
TX
05
—
138908202
—
TX
05
—
138908203
—
TX
05
—
138908204
—
TX
05
—
138908205
—
TX
05
—
138908206
—
TX
05
—
138908207
—
TX
05
—
138908208
—
TX
05
—
138908210
—
TX
05
—
138908211
—
TX
05
—
138908212
—
TX
05
—
138908213
—
TX
05
—
138908214
—
TX
01
—
87W583
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/06/2005
Last updated
12/04/2012
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