MEDICARE: DR. RENE ALBERTO CASTILLO 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	207RH0003X	Hematology & Oncology Physician	MD.12610R	LA
2	207RH0003X	Hematology & Oncology Physician	M3964	TX
3	207RX0202X	Medical Oncology Physician	M3964	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00662892	OTHER	TX	RAILROAD MEDICARE
5	P00662592	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	8BP223	OTHER	TX	BCBS OF TX
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134186166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RENE ALBERTO CASTILLO MD

Provider Business Mailing Address
First Line	:	PO BOX 911230
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75391-1230
Country	:	US
Telephone Number	:	972-997-8000
Fax Number	:	972-234-2987

Provider Business Practice Location Address
First Line	:	4101 JAMES CASEY ST STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-1145
Country	:	US
Telephone Number	:	512-447-2202
Fax Number	:	512-447-5337

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

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	02/10/2023

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Directions to “ DR. RENE ALBERTO CASTILLO MD” Practice Location

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