Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 2126817 | TX |
NPI | 1063091585 |
---|---|
Provider Name | Armando Armin Castillo |
First Address | Round Rock, TX 78665-2056 |
Second Address | Temple, TX 76504-7451 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2021 |
Last Update Date | 02/04/2021 |