Center Street Medical Clinic
LBN: Robert Manuel Castillo
Center Street Medical Clinic is an health care organization with primary practice located at 4302 Center Street , Houston TX 77007-5616. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty.
Robert Manuel Castillo can be contacted via phone (713) 869-4631, or through Cruz, Sonia via phone (832) 788-8135.
Contact Information
Primary practice address
4302 Center Street
Houston TX 77007-5616
Phone: (713) 869-4631
Fax: (713) 869-8148
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G1817 | Texas |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | G1817 | Texas |
Profile Details
| NPI number | 1770628570 |
|---|---|
| LBN Legal business name | Robert Manuel Castillo |
| DBA Doing business as | Center Street Medical Clinic |
| Authorized official | Cruz, Sonia |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Jul 23rd, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770628570 | NPPES |
| Texas | MEDICAID | 162706902 | |
| Texas | MEDICAID | 162706901 |
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