Provider Demographics
NPI:1316697048
Name:CASTLE HBC LLC
Entity type:Organization
Organization Name:CASTLE HBC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:M
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:GARTRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-293-2885
Mailing Address - Street 1:901 W BARDIN RD STE 100
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-6000
Mailing Address - Country:US
Mailing Address - Phone:817-200-6492
Mailing Address - Fax:
Practice Address - Street 1:7230 CRAWFORD RD
Practice Address - Street 2:
Practice Address - City:ARGYLE
Practice Address - State:TX
Practice Address - Zip Code:76226-2677
Practice Address - Country:US
Practice Address - Phone:501-580-8352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-25
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center