MEDICARE: HECTOR J CASTRO MD

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	L6737	TX

General Provider Information

NPI Number	:	1932107141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HECTOR J CASTRO MD

Provider Business Mailing Address
First Line	:	5601 EXECUTIVE DR STE 200
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75038-2508
Country	:	US
Telephone Number	:	844-825-6724
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 N GALLOWAY AVE STE 124
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75149-4339
Country	:	US
Telephone Number	:	972-512-8092
Fax Number	:	877-451-0347

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

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	03/21/2023

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