MEDICARE: MRS. BELINDA CASTILLO NP

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	363LF0000X	Family Nurse Practitioner	694157	TX

General Provider Information

NPI Number	:	1558651893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BELINDA CASTILLO NP

Provider Business Mailing Address
First Line	:	18360 FM 493 STE 1
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78542-1869
Country	:	US
Telephone Number	:	956-262-4449
Fax Number	:	956-262-9622

Provider Business Practice Location Address
First Line	:	18360 FM 493 STE 1
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78542-1869
Country	:	US
Telephone Number	:	956-262-4449
Fax Number	:	956-262-9622

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

Provider Enumeration Date	:	04/07/2011
Last Update Date	:	04/07/2011

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