| Cesario A Castillo Md Pa | |
|
13176 W Lake Houston Pkwy Suite 5 Houston TX 77044-5390 | |
| (281) 436-0061 | |
| (281) 436-1128 |
| Full Name | Cesario A Castillo Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 13176 W Lake Houston Pkwy, Houston, Texas |
| Authorized Official Name and Position | Doan T. Castillo (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 2814360061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cesario A Castillo Md Pa 13176 W Lake Houston Pkwy Suite 5 Houston TX 77044-5390 Ph: (281) 436-0061 | Cesario A Castillo Md Pa 13176 W Lake Houston Pkwy Suite 5 Houston TX 77044-5390 Ph: (281) 436-0061 |
| NPI Number | 1588761589 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 09/25/2012 |
| Medicare PECOS PAC ID | 1153331145 |
|---|---|
| Medicare Enrollment ID | O20060504000872 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588761589 | NPI | - | NPPES |
| 0097NG | Other | BCBS | |
| 143344306 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Cesario A Castillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447357439 PECOS PAC ID: 8224096086 Enrollment ID: I20041227000327 |
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