Healthcare Provider Details

I. General information

NPI: 1407794068
Provider Name (Legal Business Name): ALEJANDRA CASTILLO FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 E POLK AVE BLDG G
PHARR TX
78577-3328
US

IV. Provider business mailing address

7324 N FM 493
DONNA TX
78537-5475
US

V. Phone/Fax

Practice location:
  • Phone: 956-354-2170
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1229476
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: