Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | BP1-0023550 | TX |
NPI | 1477757078 |
---|---|
Provider Name | Dr. Oscar Enrique Castro-Aragon |
First Address | Galveston, TX 77550-5004 |
Second Address | Galveston, TX 77555-0462 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2921166144 | MYUTMB 2921166144-COMMERCIAL NUMBER (01) |