MEDICARE: PEDRO CASTRO DO

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	208D00000X	General Practice Physician	H9840	TX

General Provider Information

NPI Number	:	1700862166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEDRO CASTRO DO

Provider Business Mailing Address
First Line	:	223 S ABE ST
Second Line	:
City	:	SAN ANGELO
State	:	TX
Zip	:	76903-6305
Country	:	US
Telephone Number	:	325-655-7969
Fax Number	:	325-655-7976

Provider Business Practice Location Address
First Line	:	551 EAKER STREET
Second Line	:
City	:	EDEN
State	:	TX
Zip	:	76837
Country	:	US
Telephone Number	:	325-869-5500
Fax Number	:	325-869-5692

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

Provider Enumeration Date	:	12/19/2005
Last Update Date	:	09/27/2018

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Directions to “ PEDRO CASTRO DO” Practice Location

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