Provider Demographics
NPI:1063656114
Name:WILLIAM H CASTRO MD PC
Entity Type:Organization
Organization Name:WILLIAM H CASTRO MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-412-3100
Mailing Address - Street 1:18699 N 67TH AVE
Mailing Address - Street 2:STE 360
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-7140
Mailing Address - Country:US
Mailing Address - Phone:623-412-3100
Mailing Address - Fax:623-334-9125
Practice Address - Street 1:18699 N 67TH AVE
Practice Address - Street 2:STE 320
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-7140
Practice Address - Country:US
Practice Address - Phone:623-412-3100
Practice Address - Fax:623-334-9125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ18402207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty