Healthcare Provider Details

I. General information

NPI: 1174118954
Provider Name (Legal Business Name): SASHA MARIA CASTILLO FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/04/2021
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S 11TH ST STE 1
MCALLEN TX
78501-4920
US

IV. Provider business mailing address

500 S 11TH ST STE 1
MCALLEN TX
78501-4920
US

V. Phone/Fax

Practice location:
  • Phone: 956-867-2365
  • Fax: 866-302-0354
Mailing address:
  • Phone: 956-867-2365
  • Fax: 956-867-2365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number1006637
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1006637
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: