ROBERT MANUEL CASTILLO NPI 1770628570

NPI Information

ROBERT MANUEL CASTILLO is a general practice in Houston, TX. ROBERT MANUEL CASTILLO NPI is 1770628570. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Center Street Medical Clinic.

The provider's business location address is:

4302 CENTER STREET
HOUSTON, TX
ZIP 77007-616
Phone: (713) 869-4631
Fax: (713) 869-8148

The provider's authorized official is Sonia Cruz .
The authorized official title is OFFICE ADMINISTRATORAdministrator and has the following contact phone number (832) 788-8135.

The CLIA number assigned to this NPI record is 45D1019395 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 7/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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