Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 19890 | TX |
N | 1223P0700X | Prosthodontist | 19890 | TX |
N | 1223S0112X | Oral and Maxillofacial Surgeon | 19890 | TX |
NPI | 1194820589 |
---|---|
Provider Name | Dr. Oscar Castaneda |
First Address | Katy, TX 77450-7587 |
Second Address | Katy, TX 77450-7587 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 10/05/2013 |