Castillo, Michael George

Castillo, Michael George is an individual health care provider with primary practice located at 4242 Medical Dr 6300, San Antonio TX 78229-5640. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Castillo, Michael George can be contacted via phone (210) 614-8400.

Contact Information

Primary practice address
4242 Medical Dr 6300 San Antonio TX 78229-5640
Phone: (210) 614-8400
Fax: (210) 614-8165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 24459 Texas

Profile Details

NPI number 1992734479
LBN Legal business name Castillo, Michael George
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 8th, 2007 - about 17 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 1992734479 NPPES
Texas MEDICAID 100467303

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