Provider / Organization | NPI | Date Certified |
---|---|---|
ALISHA K CASTILLO | 1457955304 | 2020-11-22 |
Entity Type | Individual |
Provider Name | Alisha K Castillo LMT |
Practice Office Address | 17203 ROTHKO LN SPRING, TX US |
Practice Office Telephone | 9033870963 |
Mailing Address | 17203 ROTHKO LN SPRING, TX 773796200 US |
Business Telephone | 9033870963 |
Email [] | [email protected] | Health Information Exchange (HIE) |
Code | License No | State |
---|---|---|
225700000X PRIMARY | MT130595 | TX |