Organization
CASTILLEJA ADULT CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GABRIEL CASTILLEJA FNP (FNP/OWNER)
(956) 394-2502
Entity
Organization
Contact information
Practice address
201 W HILLSIDE RD STE 17, LAREDO, TX 78041-3197
(956) 394-2502
(956) 290-8059
Mailing address
PO BOX 451044, LAREDO, TX 78045-0025
(956) 394-2502
(956) 290-8059
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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