Individual
DR. LUIS G. CASTELLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3801 SCOTT AND WHITE DR, KILLEEN, TX 76543-5252
(254) 680-1100
Mailing address
PO BOX 847408, DALLAS, TX 75284-7408
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K1985
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82705N
BLUE SHIELD
TX
Enumeration date
03/24/2006
Last updated
07/10/2007
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