MEDICARE: DR. TIMOTHY CASTRO JR. 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	207LP2900X	Pain Medicine (Anesthesiology) Physician	H9312	TX
2	207L00000X	Anesthesiology Physician	H9312	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	8CN976	OTHER	TX	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	8DL189	OTHER	TX	BCBS
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396733382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY CASTRO JR. MD

Provider Business Mailing Address
First Line	:	PO BOX 650426
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75265-0426
Country	:	US
Telephone Number	:	972-715-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	13737 NOEL RD
Second Line	:	STE 1400
City	:	DALLAS
State	:	TX
Zip	:	75240-2004
Country	:	US
Telephone Number	:	972-715-5000
Fax Number	:	972-715-9976

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

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	10/30/2025

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Directions to “ DR. TIMOTHY CASTRO JR. MD” Practice Location

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