Castro, Eva Marie

Castro, Eva Marie is an individual health care provider with primary practice located at 120 Hillcrest Medical Blvd Ste 100 , Waco TX 76712-8949. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Castro, Eva Marie can be contacted via phone (254) 202-6100.

Contact Information

Primary practice address
120 Hillcrest Medical Blvd Ste 100 Waco TX 76712-8949
Fax: (254) 202-6195
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 510960 Texas

Profile Details

NPI number 1538204052
LBN Legal business name Castro, Eva Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Dec 6th, 2021 - about 4 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 1538204052 NPPES
Texas MEDICAID 179360601

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