DR. LETICIA CASTILLO KONTAK (NPI# 1891994968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891994968 |
Entity Type | Individual |
Full Name | DR. LETICIA CASTILLO KONTAK |
Other Name | DR. LETICIA CASTILLO |
Credential | MD |
Practice Address |
302 University Blvd Round Rock TX 78665-1032 |
Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
Practice Telephone | 5125090200 |
Mailing Telephone | 2547248800 |
Enumeration Date | 2007-07-17 |
Last Update Date | 2020-10-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 256955 | NY | Allopathic & Osteopathic Physicians |
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
N2980 | TX | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
302 UNIVERSITY BLVD |
City | ROUND ROCK |
State | TX |
Zip Code | 78665-1032 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225031305 | Douglas Martin | Otolaryngology | 302 University Blvd, Round Rock, TX 78665-1032 | 2005-05-23 |
1447871538 | Miranda Harman | Speech-Language Pathologist | 302 University Blvd, Round Rock, TX 78665-1032 | 2020-04-30 |
1639715667 | Rosalyn Velasquez | Physician Assistant | 302 University Blvd, Round Rock, TX 78665-1032 | 2019-11-25 |
1407311434 | Robin Hupp | Registered Nurse | 302 University Blvd, Round Rock, TX 78665-1032 | 2019-02-04 |
1740767334 | Kimberly Kidd Bushe | Registered Nurse | 302 University Blvd, Round Rock, TX 78665-1032 | 2018-07-26 |
1508355801 | Efrat Tsabari | Physician Assistant | 302 University Blvd, Round Rock, TX 78665-1032 | 2018-05-02 |
1255830345 | Stefany Delascurain | Physician Assistant | 302 University Blvd, Round Rock, TX 78665 | 2018-02-05 |
1265930515 | Jessica Dinneen Grenard | Physician Assistant | 302 University Blvd, Round Rock, TX 78665-1032 | 2018-01-31 |
1114445574 | Brittney Morgan Thompson | Audiologist | 302 University Blvd, Round Rock, TX 78665-1032 | 2017-09-06 |
1669918652 | Adriana Ribeiro | Speech-Language Pathologist | 302 University Blvd, Round Rock, TX 78665 | 2017-01-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992314306 | Prolab Incorporated | Clinical Medical Laboratory | Pro-lab Diagnostics Us, 21 Cypress Blvd. Ste. 1155, Round Rock, TX 78665 | 2020-07-31 |
1902420391 | Seton Family of Doctors | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 201 University Oaks Blvd, Suite 1260, Round Rock, TX 78665 | 2020-06-02 |
1629538848 | Julie Mai Nguyen | Student in an Organized Health Care Education/Training Program | 425 University Blvd., Suite 300, Ms-m2 3.006, Round Rock, TX 78665 | 2019-03-22 |
1881154177 | Emily Victoria Bergstrom | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Clinic, 425 University Blvd., Suite 345, Round Rock, TX 78665 | 2019-03-22 |
1710473210 | Brandi Weldon | Doula | 1561 Kenneys Way, Round Rock, TX 78665 | 2018-07-08 |
1528564531 | Stacy Danielle Arrington | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center- Round Rock, 425 University Blvd, Suite 300, Ms-m2 3.005, Round Rock, TX 78665 | 2018-03-30 |
1386152601 | Stephanie Michelle Martinez | Behavioral Analyst | 1503 Balsam Way, Round Rock, TX 78665 | 2018-01-22 |
1245758507 | The Natural Birthing Center, LLC | Clinic/Center | 1101 Satellite View Suite 104, Round Rock, TX 78665 | 2017-09-06 |
1386160554 | Bloom Consulting, LLC | Community/Behavioral Health | 3001 Joe Dimaggio Blvd Ste 800, Round Rock, TX 78665 | 2017-08-18 |
1508387226 | Ipyana Anyelwisye | Psychologist | 3636 Short Horn Ln, Round Rock, TX 78665 | 2017-07-03 |
Find all providers in zip 78665 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548403371 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 7215 Wyoming Springs Dr., Bldg. 1, Ste. 100, Round Rock, TX 78681-4311 | 2009-04-09 |
1770585234 | Courtney Lee Parr | Internal Medicine | 2410 Round Rock Avenue, Suite 170, Round Rock, TX 78681 | 2005-08-15 |
1629079017 | Jerry H Gilbert | Internal Medicine | 2410 Round Rock Ave, Ste. 110, Round Rock, TX 78681-4003 | 2005-08-09 |
1295730828 | Michael Fernando Lenis | Internal Medicine | 301 Seton Pkwy, Suite 302, Round Rock, TX 78665-8002 | 2005-06-20 |
1851529713 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 301 Seton Parkway, Suite 302, Round Rock, TX 78665-8002 | 2009-06-30 |
1568615243 | Jacobo Vazquez | Internal Medicine | 302 University Blvd, Round Rock, TX 78665-1032 | 2008-10-28 |
1366695074 | Vijay Divakaran | Internal Medicine | 302 University Blvd, Round Rock, TX 78665-1032 | 2008-10-24 |
1386892719 | Texas Cardiovascular Consultants, Pa | Internal Medicine | 7215 Wyoming Springs, Bldg. 1, Ste. 100, Round Rock, TX 78681-4311 | 2008-08-27 |
1699961938 | Shanti Nulu | Internal Medicine | 301 Seton Pkwy Ste 302, Round Rock, TX 78665-8003 | 2007-09-20 |
1790986354 | Amy Butler Stancoven | Internal Medicine | 302 University Blvd, Round Rock, TX 78665-1032 | 2007-05-30 |
Find all providers in ROUND ROCK |
City | ROUND ROCK |
Zip Code | 78665 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.