Castle, Wesley L

Castle, Wesley L is an individual health care provider with primary practice located at 1327 Troup Hwy , Tyler TX 75701-4443. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Castle, Wesley L can be contacted via phone (903) 510-8840.

Contact Information

Primary practice address
1327 Troup Hwy Tyler TX 75701-4443
Phone: (903) 510-8840
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 001130 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04931 Texas

Profile Details

NPI number 1114971058
LBN Legal business name Castle, Wesley L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Oct 10th, 2014 - about 10 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 1114971058 NPPES
Texas Other TIN PLUS 021 TRICARE
Texas Other P00128999 TRICARE
Texas Other 8Y8942 TRICARE
Texas Other P00075075 TRICARE

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