Castleberry, Darrick Lavone

Castleberry, Darrick Lavone is an individual health care provider with primary practice located at 4429 Griggs Rd Ste A , Houston TX 77021-2852. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Castleberry, Darrick Lavone can be contacted via phone (713) 842-2500.

Contact Information

Primary practice address
4429 Griggs Rd Ste A Houston TX 77021-2852
Phone: (713) 842-2500
Fax: (713) 842-4224
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19513 Texas

Profile Details

NPI number 1316958168
LBN Legal business name Castleberry, Darrick Lavone
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Mar 13th, 2012 - about 12 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 1316958168 NPPES
Texas MEDICAID 090849313

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