Provider Demographics
NPI:1659668051
Name:CHRISTINE C CASTILLO ASSOCIATES PLLC
Entity Type:Organization
Organization Name:CHRISTINE C CASTILLO ASSOCIATES PLLC
Other - Org Name:EYE TRENDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OD
Authorized Official - Prefix:
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HSU
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-436-1800
Mailing Address - Street 1:12710 W. LAKE HOUSSTON PARKWAY
Mailing Address - Street 2:SUITE F
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77044
Mailing Address - Country:US
Mailing Address - Phone:281-436-1800
Mailing Address - Fax:832-934-1161
Practice Address - Street 1:12710 W. LAKE HOUSSTON PARKWAY
Practice Address - Street 2:SUITE F
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77044
Practice Address - Country:US
Practice Address - Phone:281-436-1800
Practice Address - Fax:832-934-1161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6646TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6646TGOtherOPTOMETRY LICENSE