Stephanie Diane Castro, DDS
Individual provider Active NPI Dentist · Buda, TX
NPI 1164078143 · NPPES record last updated Aug 14, 2019
Key facts
- NPI
- 1164078143
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 35638 (TX)
- Practice address
- 15550 S Interstate 35 Ste 110
Buda, TX 78610-3887 - Phone
- (512) 265-8427
- Fax
- (512) 271-6464
- NPI assigned
- Aug 14, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35638 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brush32 Dental of Buda PLLC | Dentist | Current |
Accepting new patients |
Locations
15550 S Ih 35
Ste 110
Buda, TX 78610
Phone (512) 265-8427
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 35638 | TX | Yes |
Addresses
Primary practice location
15550 S Interstate 35 Ste 110
Buda, TX 78610-3887
Mailing address
PO Box 840925
Dallas, TX 75284-0925
Phone (512) 265-8427
Other providers in Buda, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.