Castillo, Maribel

Castillo, Maribel is an individual health care provider with primary practice located at 4102 22Nd Pl , Lubbock TX 79410-1122. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Castillo, Maribel can be contacted via phone (806) 725-0237.

Contact Information

Primary practice address
4102 22Nd Pl Lubbock TX 79410-1122
Phone: (806) 725-0237
Fax: (806) 725-1030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP126706 Texas

Profile Details

NPI number 1760887541
LBN Legal business name Castillo, Maribel
Credentials APRN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2014
Last updated Jul 11th, 2022 - about 2 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 1760887541 NPPES
Texas Other 8152NW BCBS
Texas Other 382103801 BCBS
Texas MEDICAID 16905016 BCBS
Texas Other 394088YKT8 BCBS
Texas MEDICAID 343975404 BCBS

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