MEDICARE: FRANK CASTILLON III, 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	207T00000X	Neurological Surgery Physician	MO682	TX

General Provider Information

NPI Number	:	1700018082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANK CASTILLON III, P.A.

Provider Business Mailing Address
First Line	:	10670 N CENTRAL EXPY
Second Line	:	STE 200
City	:	DALLAS
State	:	TX
Zip	:	75231-2141
Country	:	US
Telephone Number	:	214-660-5650
Fax Number	:	214-987-1120

Provider Business Practice Location Address
First Line	:	10670 N CENTRAL EXPY
Second Line	:	STE 200
City	:	DALLAS
State	:	TX
Zip	:	75231-2141
Country	:	US
Telephone Number	:	214-660-5650
Fax Number	:	214-987-1120

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FRANK CASTILLON III
Credential	:	M.D.
Telephone Number	:	214-660-5650

Provider Enumeration Date	:	08/20/2009
Last Update Date	:	01/03/2013

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