Most Relevant Information
Provider Data
NPI Number: | 1003455692 |
Provider Name: | MICHAEL ANTHONY CASTILLO LVN |
Entity Type: | Individual |
Taxonomy Code: | 164X00000X |
Specialty: | Licensed Vocational Nurse |
License Number: | 347266 |
Most Important Dates
Enumeration Date: | 12/30/2019 |
Last Updated: | 12/30/2019 |
Provider Practice Location
956 GALAXIA DR
EL PASO
TX
799282401
Practice Location Phone/Fax
Phone: | 9152562495 |
Fax: |
Provider Mailing Location
956 GALAXIA DR
EL PASO
TX
799282401
Provider Mailing Phone/Fax
Phone: | |
Fax: |