MEDICARE: ARMANDO CASTILLO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	2126817	TX

General Provider Information

NPI Number	:	1063091585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARMANDO CASTILLO

Provider Business Mailing Address
First Line	:	6811
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78663-2056
Country	:	US
Telephone Number	:	480-720-0019
Fax Number	:

Provider Business Practice Location Address
First Line	:	1901 VETERANS MEMORIAL DR
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76504-7451
Country	:	US
Telephone Number	:	254-778-4811
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2021
Last Update Date	:	04/01/2022

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Directions to “ ARMANDO CASTILLO ” Practice Location

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