Individual provider · Type 1 NPI

Mauricio Jose De Castro Pretelt, MD

Clinical Genetics (M.D.) Physician · Oklahoma City, OK

NPI number 1407083256 Active

Practice location

1200 Childrens Ave Ste 5D
Oklahoma City, OK 73104-4637

Fax (405) 271-2263

Mailing address

301 Fisher St Rm GG700
Keesler Afb, MS 39534-2508

Other practice locations

  • 301 Fisher St, Room Gg 700, Keesler Afb, MS 39534-2508 · (228) 376-3389

Specialties and licenses

TaxonomyCodeLicense
Clinical Molecular Genetics Physician 207SG0203X0101250567 (VA)
Clinical Genetics (M.D.) Physician Primary 207SG0201X46520 (OK)
Clinical Genetics (M.D.) Physician 207SG0201X0101250567 (VA)

Clinical Genetics (M.D.) Physician: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

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About NPI 1407083256

Mauricio Jose De Castro Pretelt, MD's National Provider Identifier is 1407083256, issued on Jun 19, 2009. The primary taxonomy on file is Clinical Genetics (M.D.) Physician (207SG0201X), and the practice location is in Oklahoma City, OK. The record was last updated on Jan 7, 2026.