Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Athena Lee Castilleja Ezernack, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1790014660

Mrs. Athena Lee Castilleja Ezernack, IDMT is an Independent Duty Medical Technicians in Barksdale AFB, Louisiana. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

407 Barksdale Blvd E
Barksdale AFB, LA 71110-2125
Phone: (318) 456-6165
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X

Record details

NPI number1790014660
Entity typeIndividual (Type 1)
GenderFemale
Credentials IDMT
Sole proprietorNo
NPI enumeratedDecember 23, 2009
Last updated in NPPESDecember 23, 2009

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