Individual
GERARDO CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
909 E ESPERANZA AVE STE B, MCALLEN, TX 78501-1453
(956) 627-4874
(956) 329-2931
Mailing address
PO BOX 537, PHARR, TX 78577-1609
(956) 627-4874
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP136881
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1X3322
INDIVIDUAL MEDICARE
TX
05
—
4360760-01
—
TX
01
—
8QV236
SOLO BCBS
TX
01
—
P02637391
INDIVIDUAL RR MEDICARE
TX
Enumeration date
01/10/2019
Last updated
03/13/2024
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