GREGORIO JOEL CASTILLO M.D. P.A. NPI 1356524490

NPI Information

GREGORIO JOEL CASTILLO, M.D. P.A. is a primary care clinic center in El Paso, TX. GREGORIO JOEL CASTILLO, M.D. P.A. NPI is 1356524490. The provider is registered as an organization entity type.

The provider's business location address is:

10501 VISTA DEL SOL DR
SUITE 200
EL PASO, TX
ZIP 79925-940
Phone: (915) 592-8880
Fax: (915) 592-8883

The provider's authorized official is Gregorio Joel Asuncion Castillo .
The authorized official title is President and has the following contact phone number (915) 592-8880.

The CLIA number assigned to this NPI record is 45D1055230 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2007 and was last updated on 1/14/2008.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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