Castillo, Eduardo D

Castillo, Eduardo D is an individual health care provider with primary practice located at 2000 Cooper St Ste 100B , Fort Worth TX 76104-2528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Castillo, Eduardo D can be contacted via phone (817) 924-9002.

Contact Information

Primary practice address
2000 Cooper St Ste 100B Fort Worth TX 76104-2528
Phone: (817) 924-9002
Fax: (817) 924-9960
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X M1568 Texas

Profile Details

NPI number 1023035623
LBN Legal business name Castillo, Eduardo D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Sep 13th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023035623 NPPES
Texas MEDICAID 173827001
Texas Other P00234425

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