=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093981870
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FRANCISCO JAVIER DEL CASTILLO, MD PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/01/2008
-----------------------------------------------------
Last Update Date | 06/16/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4970 N EXPRESSWAY STE B
-----------------------------------------------------
City | BROWNSVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78526-4269
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-350-8788
-----------------------------------------------------
Fax | 956-350-0009
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4970 N EXPRESSWAY STE B
-----------------------------------------------------
City | BROWNSVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78526-4269
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-350-8788
-----------------------------------------------------
Fax | 956-350-0009
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. FRANCISCO JAVIER DEL CASTILLO
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 956-350-8788
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | G2354
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------