DR. MONETA B DE CASTRO, MD
Medical Practice at Oak Park Ln, Fort Worth, TX

License number
Texas H5865
Category
Medical Practice
Type
Pediatrics
Address
Address
4445 Oak Park Ln #201, Fort Worth, TX 76109
Phone
(817) 922-0798
(817) 922-0976 (Fax)
National Provider ID: 1487699898
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MONETA B. DE CASTRO, M.D., PA

4445 Oak Park Ln STE 201, Fort Worth, TX 76109

Doing business as:
Moneta B. De Castro, M.D., PA
Registration:
Jul 25, 1990
State ID:
0081259003
Business type:
Professional Association
President , Director , Member , Secretary, Treasurer, Vice-President:
Moneta B. De Castro (President , Director , Member , Secretary, Treasurer, Vice-President)
Agent:
Moneta B De Castro,4445 Oak Park Ln #201, Fort Worth, TX 76109 (Physical)
TIN:
32036031071

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