1063493526 NPI number — DR. FEBE LINDA ORO-CASTILLO MD

Table of content: DR. FEBE LINDA ORO-CASTILLO MD (NPI 1063493526)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063493526 NPI number — DR. FEBE LINDA ORO-CASTILLO MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ORO-CASTILLO
Provider First Name:
FEBE
Provider Middle Name:
LINDA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1063493526
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/06/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1105 MEMORIAL DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DENISON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75020-2043
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
903-463-1621
Provider Business Mailing Address Fax Number:
903-463-5183

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1105 MEMORIAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DENISON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75020-2034
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
903-463-1621
Provider Business Practice Location Address Fax Number:
903-463-5183
Provider Enumeration Date:
11/10/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  G4815 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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