Individual
DR. LETICIA CASTILLO KONTAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
302 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 509-0200
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
256955
NY
207RC0000X
Cardiovascular Disease Physician
Primary
N2980
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/17/2007
Last updated
01/14/2021
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