Provider Demographics
NPI:1891740247
Name:CASTEEL, CYNTHIA E (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:E
Last Name:CASTEEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2515 CASTROVILLE RD
Mailing Address - Street 2:STE 103
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78237-3359
Mailing Address - Country:US
Mailing Address - Phone:210-433-0366
Mailing Address - Fax:210-433-2622
Practice Address - Street 1:2515 CASTROVILLE RD
Practice Address - Street 2:STE 103
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78237-3359
Practice Address - Country:US
Practice Address - Phone:210-433-0366
Practice Address - Fax:210-433-2622
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG7751208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2880514005OtherCIGNA
MI104447704Medicaid
MI12-20019OtherPHP OF SOUTH MICHIGAN
MI111757OtherPREFERRED CHOICES
MI35-0-38-0137-1OtherBLUE CROSS BLUE SHIELD
MI4333430OtherAETNA