Provider Demographics
NPI:1629335815
Name:CLAUDIA CASTANO, MD, PA
Entity Type:Organization
Organization Name:CLAUDIA CASTANO, MD, PA
Other - Org Name:COMPLETE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:GIBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-986-7469
Mailing Address - Street 1:2000 ESTERS RD
Mailing Address - Street 2:120
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-9531
Mailing Address - Country:US
Mailing Address - Phone:972-986-7469
Mailing Address - Fax:972-790-8270
Practice Address - Street 1:2000 ESTERS RD
Practice Address - Street 2:120
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-9531
Practice Address - Country:US
Practice Address - Phone:972-986-7469
Practice Address - Fax:972-790-8270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4647208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty