Provider Demographics
NPI:1023085925
Name:CASTLE, SABRINA BENEFIELD (MD)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:BENEFIELD
Last Name:CASTLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:MICHELLE
Other - Last Name:BENEFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:501 TURTLE CREEK DR.
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605
Mailing Address - Country:US
Mailing Address - Phone:903-235-0701
Mailing Address - Fax:903-381-7269
Practice Address - Street 1:2510 W. BERT KOUNS INDUSTRIAL LOOP
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71118
Practice Address - Country:US
Practice Address - Phone:318-212-5000
Practice Address - Fax:903-553-7751
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1613207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX165498003Medicaid
TXH35621Medicare UPIN
TX165498003Medicaid