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Organization
ROBERT MANUEL CASTILLO
Active
Organization
ROBERT MANUEL CASTILLO
Active
Other names
Center Street Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONIA CRUZ (OFFICE ADMINISTRATOR)
(832) 788-8135
Entity
Organization
Contact information
Practice address
4302 CENTER STREET, HOUSTON, TX 77007-5616
(713) 869-4631
(713) 869-8148
Mailing address
PO BOX 70109, HOUSTON, TX 77270-0109
(713) 869-4631
(713) 869-8148
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G1817
TX
208D00000X
General Practice Physician
Primary
G1817
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162706901
—
TX
05
—
162706902
—
TX
Enumeration date
02/20/2007
Last updated
07/23/2009
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