MEDICARE: KRYSTAL CASTELLANOS

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	363LF0000X	Family Nurse Practitioner	990196	TX

General Provider Information

NPI Number	:	1356203822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRYSTAL CASTELLANOS

Provider Business Mailing Address
First Line	:	9939 ROWLETT RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77075-3404
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9939 ROWLETT RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77075-3404
Country	:	US
Telephone Number	:	832-629-1117
Fax Number	:

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

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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Directions to “ KRYSTAL CASTELLANOS ” Practice Location

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