Active NPI
Women'S Wellness & Healthcare Clinic
- Specialist
- Laredo, TX
National Provider Identifier
1558323717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- K9748
- Legal business name
- WOMEN'S WELLNESS & HEALTHCARE CLINIC
- Practice address
- 1710 E. Saunders
Suite A200
Laredo, TX 78041-2213 - Phone
- (956) 753-7600
- Fax
- (956) 753-7800
- NPI assigned
- Apr 4, 2006
- Organization subpart
- Yes
- Parent organization
- WOMEN'S WELLNESS & HEALTHCARE CLINIC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ricardo Castillon, M.D.
- Title
- Owner
- Phone
- (956) 753-7600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | K9748 | TX | Primary |
Addresses
Primary practice location
1710 E. Saunders
Suite A200
Laredo, TX 78041-2213
Mailing address
1710 E. Saunders
Suite A200
Laredo, TX 78041-2213
Phone (956) 753-7600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0030ER | Other | TX | BLUE CROSS BLUE SHIELD |
| 0796211-01 | Medicaid | TX |
National Provider Directory
National Provider Directory- Part of
- Womens Wellness and Hea
Locations
1710 E Saunders St
Ste A200
Laredo, TX 78041
Phone (956) 753-7600
Interoperability endpoints
- https://api.platform.athenahealth.com/20213/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Truckee, CA
- NPI 1154666212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299801600000",
"number": "1558323717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 E. SAUNDERS",
"address_2": "SUITE A200",
"city": "LAREDO",
"state": "TX",
"postal_code": "780412213",
"telephone_number": "956-753-7600",
"fax_number": "956-753-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 E. SAUNDERS",
"address_2": "SUITE A200",
"city": "LAREDO",
"state": "TX",
"postal_code": "780412213",
"telephone_number": "956-753-7600",
"fax_number": "956-753-7800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMEN'S WELLNESS & HEALTHCARE CLINIC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WOMEN'S WELLNESS & HEALTHCARE CLINIC",
"enumeration_date": "2006-04-04",
"last_updated": "2011-03-11",
"status": "A",
"authorized_official_last_name": "CASTILLON",
"authorized_official_first_name": "RICARDO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "956-753-7600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "K9748",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0030ER",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0796211-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.