MEDICARE: MIGUEL E. CASTELLANOS, M.D., P.A.

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	207RC0000X	Cardiovascular Disease Physician	H9311	TX
2	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1487800504
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIGUEL E. CASTELLANOS, M.D., P.A.

Provider Business Mailing Address
First Line	:	610 STRICKLAND DRIVE
Second Line	:	SUITE 100
City	:	ORANGE
State	:	TX
Zip	:	77630-4788
Country	:	US
Telephone Number	:	409-886-7245
Fax Number	:	409-883-7450

Provider Business Practice Location Address
First Line	:	610 STRICKLAND DRIVE
Second Line	:	SUITE 100
City	:	ORANGE
State	:	TX
Zip	:	77630-4788
Country	:	US
Telephone Number	:	409-886-7245
Fax Number	:	409-883-7450

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MIGUEL E. CASTELLANOS
Credential	:	M.D.
Telephone Number	:	409-886-7245

Provider Enumeration Date	:	08/08/2008
Last Update Date	:	02/23/2015

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