Provider Demographics
NPI:1588703482
Name:CASTRO, JUAN FRANCISCO (MD)
Entity type:Individual
Prefix:DR
First Name:JUAN
Middle Name:FRANCISCO
Last Name:CASTRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6306 GARDEN CT
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-6069
Mailing Address - Country:US
Mailing Address - Phone:361-653-0610
Mailing Address - Fax:361-653-0613
Practice Address - Street 1:2222 MORGAN AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78405-1948
Practice Address - Country:US
Practice Address - Phone:361-653-0610
Practice Address - Fax:361-653-0613
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH6103207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP000T10F8Medicaid
TXP000T10F8Medicaid
TXE21771Medicare UPIN