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
Phone: (254) 202-6100
Fax: (254) 202-6195
Website:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538204052 | NPPES |
| Texas | MEDICAID | 179360601 |
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