| Castle Hills Family Dental | |
|
1931 Nw Military Hwy Suite 225 San Antonio TX 78213-2153 | |
| (210) 732-4570 | |
| (210) 732-4572 |
| Full Name | Castle Hills Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1931 Nw Military Hwy, San Antonio, Texas |
| Authorized Official Name and Position | Rafael Luis Mercado (GENERAL DENTIST/OWNER) |
| Authorized Official Contact | 2107324570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Castle Hills Family Dental 1931 Nw Military Hwy Suite 225 San Antonio TX 78213-2153 Ph: (210) 732-4570 | Castle Hills Family Dental 1931 Nw Military Hwy Suite 225 San Antonio TX 78213-2153 Ph: (210) 732-4570 |
| NPI Number | 1306173554 |
|---|---|
| Provider Enumeration Date | 11/09/2009 |
| Last Update Date | 07/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306173554 | NPI | - | NPPES |
| 180123502 | Medicaid | TX | |
| 1376774851 | Other | TX | NPI |
| 136341809 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17101 (Texas) | Primary |
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