| Brian C Castillo, MD PA | |
|
13176 W Lake Houston Pkwy Suite 4 Houston TX 77044-5390 | |
| (281) 436-0061 | |
| (281) 436-1128 |
| Full Name | Brian C Castillo, MD PA |
|---|---|
| Speciality | Family Medicine |
| Location | 13176 W Lake Houston Pkwy, Houston, Texas |
| Authorized Official Name and Position | Brian Ceniza Castillo (OWNER) |
| Authorized Official Contact | 2814360061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian C Castillo, MD PA 13176 W Lake Houston Pkwy Suite 4 Houston TX 77044-5390 Ph: (281) 436-0061 | Brian C Castillo, MD PA 13176 W Lake Houston Pkwy Suite 4 Houston TX 77044-5390 Ph: (281) 436-0061 |
| NPI Number | 1831418094 |
|---|---|
| Provider Enumeration Date | 05/26/2010 |
| Last Update Date | 05/26/2010 |
| Medicare PECOS PAC ID | 7214124742 |
|---|---|
| Medicare Enrollment ID | O20101209001311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831418094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N1577 (Texas) | Primary |
| Provider Name | Brian C Castillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922247881 PECOS PAC ID: 9931256591 Enrollment ID: I20090416000544 |
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