Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | M3967 | TX |
N | 207PE0004X | Emergency Medical Services | MD427540 | PA |
NPI | 1164474789 |
---|---|
Provider Name | Dr. Harvey 1 Castro |
First Address | Hurst, TX 76054-3109 |
Second Address | Coppell, TX 75019-2162 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 03/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11153521 | (05) | NM |
181625801 | (05) | TX |
181625802 | (05) | TX |
8BC201 | BCBS (01) | TX |
8V2877 | BCBS (01) | TX |
I52820 | (02) | TX |
P003675737 | MEDICARE RAILROAD (01) | TX |