Individual
MICHAEL GEORGE CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4242 MEDICAL DR, 6300, SAN ANTONIO, TX 78229-5640
(210) 614-8400
(210) 614-8165
Mailing address
4242 MEDICAL DR, 6300, SAN ANTONIO, TX 78229-5640
(210) 614-8400
(210) 614-8165
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
24459
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100467303
—
TX
Enumeration date
06/30/2006
Last updated
07/08/2007
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