Individual
PATRICIA A CASTILLEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2201 S CLEAR CREEK RD, KILLEEN, TX 76549-4110
(254) 526-7523
(254) 200-4090
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
558455
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C41R
BLUE CROSS BLUE SHIELD
TX
01
—
100785100
FIRSTCARE
TX
05
—
151206301
—
TX
01
—
88490U
BLUE CROSS BLUE SHIELD
TX
01
—
8K3051
MEDICARE ID
TX
Enumeration date
10/06/2005
Last updated
10/29/2020
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