Individual
JACQUELYN CELESTE CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 704-4000
Mailing address
1110 PALESTINE ST, SOUTH HOUSTON, TX 77587-3413
(281) 740-5106
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
1194503
TX
363LA2100X
Acute Care Nurse Practitioner
1194503
TX
Other
Enumeration date
04/03/2025
Last updated
04/14/2025
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