Provider Demographics
NPI:1841177847
Name:ALEXANDER CHASE CASTILLO
Entity type:Organization
Organization Name:ALEXANDER CHASE CASTILLO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:CHASE
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-833-1944
Mailing Address - Street 1:3502 N GLASSCOCK RD
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78573-8458
Mailing Address - Country:US
Mailing Address - Phone:956-833-1944
Mailing Address - Fax:508-286-7016
Practice Address - Street 1:6316 N 10TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3599
Practice Address - Country:US
Practice Address - Phone:956-833-1944
Practice Address - Fax:508-286-7016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty