Individual
RANDOLFO V CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 W JEFFERSON ST, BROWNSVILLE, TX 78520
(956) 544-1400
(956) 698-5445
Mailing address
PO BOX 4856, BROWNSVILLE, TX 78523
(956) 542-7502
(956) 541-1958
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G1867
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00FW07
BCBS
TX
01
—
050056367
MEDICARE RR
TX
05
—
137196508
—
TX
Enumeration date
10/23/2006
Last updated
07/08/2007
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