Provider Demographics
NPI:1821472796
Name:CASTILLO, CATHERINE PAPA (DDS)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:PAPA
Last Name:CASTILLO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7350 KIRBY DR APT 6
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3526
Mailing Address - Country:US
Mailing Address - Phone:904-434-3920
Mailing Address - Fax:
Practice Address - Street 1:9720 JONES RD
Practice Address - Street 2:SUITE 210
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4388
Practice Address - Country:US
Practice Address - Phone:281-477-8022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-10
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX311771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice