Castleberry, Drew Conlan

Castleberry, Drew Conlan is an individual health care provider with primary practice located at 5016 S Us Highway 75 , Denison TX 75020-4584. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Castleberry, Drew Conlan can be contacted via phone (903) 892-1131.

Contact Information

Primary practice address
5016 S Us Highway 75 Denison TX 75020-4584
Fax: (903) 327-8023
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X H0240 Texas

Profile Details

NPI number 1003893280
LBN Legal business name Castleberry, Drew Conlan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Mar 5th, 2012 - about 14 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 1003893280 NPPES
Texas MEDICAID 104803502

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