Healthcare Provider Details

I. General information

NPI: 1215524566
Provider Name (Legal Business Name): HECTOR CASTILLO BECERRA APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2020
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5294 BELT LINE RD STE 200
DALLAS TX
75254-7571
US

IV. Provider business mailing address

350 S PLANO RD
RICHARDSON TX
75081-4505
US

V. Phone/Fax

Practice location:
  • Phone: 214-785-2200
  • Fax:
Mailing address:
  • Phone: 214-979-5420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1016738
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: