CODY CASTLE

LONGVIEW, TX
NPI1417481623
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP134335)
Enumeration Date2017-04-13
Last Update Date2020-02-07
Business Address
CODY CASTLE FNP
1103 EDEN DR
LONGVIEW, TX 75605-3114
Phone number: 903-578-0887
Mailing Address
CODY CASTLE FNP
816 W CANNON ST
FORT WORTH, TX 76104-3146
Phone number: 817-321-0404