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Samantha Reyna Castillo-mallory, DO
Student in an Organized Health Care Education/Training Program in El Paso, Texas
NPI 1376293845

Samantha Reyna Castillo-mallory is a Student in an Organized Health Care Education/Training Program based in El Paso, TX. Samantha Reyna Castillo-mallory practices in El Paso, TX and has the professional credentials of DO. The NPI Number for Samantha Reyna Castillo-mallory is 1376293845 and holds a License No. (Texas).

The current practice location address for Samantha Reyna Castillo-mallory is 10301 Gateway Blvd W, El Paso, TX and can be reached out via phone at 915-595-9000.

Location: 10301 Gateway Blvd W, El Paso, TX, 79925-7618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376293845
Provider Name
Samantha Reyna Castillo-mallory
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
10301 Gateway Blvd W, El Paso, TX, 79925-7618
Phone Number
915-595-9000
Fax Number
Provider Enumeration Date
03/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10301 Gateway Blvd W
City
El Paso
State
Texas
Zip
79925-7701
Phone Number
915-595-9000
Fax Number
person
Provider Business Mailing Address Details
Address
10301 Gateway Blvd W
City
El Paso
State
Texas
Zip
79925-7701
Phone Number
915-595-9000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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