Castro, Kelly Cajahuaringa
Castro, Kelly Cajahuaringa is an individual health care provider with primary practice located at 1111 Augusta Dr Tanglewood Clinic, Houston TX 77057-2209. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Castro, Kelly Cajahuaringa can be contacted via phone (713) 442-2400.Contact Information
Primary practice address
1111 Augusta Dr Tanglewood Clinic
Houston TX 77057-2209
Phone: (713) 442-2400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L1281 | Texas |
Profile Details
| NPI number | 1699765677 |
|---|---|
| LBN Legal business name | Castro, Kelly Cajahuaringa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Dec 13th, 2016 - about 10 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 | 1699765677 | NPPES |
| Texas | MEDICAID | 146571803 | |
| Texas | MEDICAID | 146571805 | |
| Texas | MEDICAID | 146571802 |
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