Castorena, Jessica Mayra

Castorena, Jessica Mayra is an individual health care provider with primary practice located at 4502 Medical Dr Dept Of Pediatric Critical Care, San Antonio TX 78229-4402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, which is considered as her primary health care specialty. Castorena, Jessica Mayra can be contacted via phone (210) 257-1400.

Contact Information

Primary practice address
4502 Medical Dr Dept Of Pediatric Critical Care San Antonio TX 78229-4402
Phone: (210) 257-1400
Fax: (210) 257-1428
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 690854 Texas

Profile Details

NPI number 1629220140
LBN Legal business name Castorena, Jessica Mayra
Credentials RN, NP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2008
Last updated Nov 5th, 2015 - about 9 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 1629220140 NPPES
Texas MEDICAID 200184405
Texas Other 200184406

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