Krystal Castle
DO | Pediatrics | Female
Krystal Castle, DO is a Tyler, Texas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Krystal Castle is
305 W Rusk St, Tyler, Texas - 75701-1514. She can be contacted on phone at
903-592-7304.
Krystal Castle is a sole proprietor of her business.
NPI number (Unique professional ID) for Krystal Castle is
1053530386 which was assigned by NPPES on 25 Apr, 2007 and it was last updated on 15 Mar, 2016.
Krystal Castle license number is
M8577 for Pediatrics (208000000X) in Texas.
Krystal Castle is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Krystal Castle basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Krystal Castle |
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| Credential : | DO |
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| Gender : | Female |
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Business Address:
Krystal Castle address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 305 W Rusk St
Tyler, TX, 75701-1514
United States |
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| Phone Number : | 903-592-7304 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1053530386 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Apr, 2007 |
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| Last Updated On : | 15 Mar, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Krystal Castle are as mentioned. Primary taxonomy code for Krystal Castle, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | M8577 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Krystal Castle such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 8BE141 | Other | TX | BCBS |
| 194798801 | MEDICAID | TX | |
| TIN PLUS 004 | Other | TX | TRICARE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 846098
Dallas, TX, 75284-6098
United States |
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| Phone Number : | 903-324-6450 |
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Business Location:
Patients can refer following map for directions to
Krystal Castle practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.