Krystal Castle, DO
Pediatrics in Tyler, TX. Individual provider (NPI-1).
NPI number1053530386
StatusActive
Last updated in NPPESMar 15, 2016
Details
- NPI
- 1053530386
- Entity type
- Individual (NPI-1)
- Name
- Krystal Castle
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2007
- Last updated
- Mar 15, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | M8577 | TX | Yes |
Practice location
305 W Rusk StTyler, TX 75701-1514
Phone 903-592-7304
Mailing address
Po Box 846098Dallas, TX 75284-6098
Phone 903-324-6450
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