person
Dr. Candice Lee Castro, MD
Military Health Care Provider in Fort Sam Houston, Texas
NPI 1427048248

Candice Lee Castro is a Military Health Care Provider based in San Antonio, TX. Candice Lee Castro practices in Fort Sam Houston, TX and has the professional credentials of MD. The NPI Number for Candice Lee Castro is 1427048248 and holds a License No. MD019578 (Texas).

The current practice location address for Candice Lee Castro is 3851 Roger Brooke Dr, Fort Sam Houston, TX and can be reached out via phone at 210-295-4320 and via fax at 210-295-4317.

Location: 3851 Roger Brooke Dr, Fort Sam Houston, TX, 78232-4167
person
Provider Profile Details
NPI Number
1427048248
Provider Name
Candice Lee Castro
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3851 Roger Brooke Dr, Fort Sam Houston, TX, 78232-4167
Phone Number
210-295-4320
Fax Number
210-295-4317
Provider Enumeration Date
10/24/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3851 Roger Brooke Dr
City
State
Zip
78234-4501
Phone Number
210-295-4320
Fax Number
210-295-4317
person
Provider Business Mailing Address Details
Address
3851 Roger Brooke Dr
City
State
Zip
78234-4501
Phone Number
210-295-4320
Fax Number
210-295-4317
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
MD019578 (Tennessee)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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