Provider Demographics
NPI:1407907793
Name:CASTILLO, LUIS ENRIQUE (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:ENRIQUE
Last Name:CASTILLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:607 TIMBERDALE LN
Mailing Address - Street 2:SUITE #200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-3043
Mailing Address - Country:US
Mailing Address - Phone:281-444-9590
Mailing Address - Fax:281-580-8931
Practice Address - Street 1:607 TIMBERDALE LN
Practice Address - Street 2:SUITE #200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3043
Practice Address - Country:US
Practice Address - Phone:281-444-9590
Practice Address - Fax:281-580-8931
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2012-02-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXF8435207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC14298Medicare UPIN
TX00B90GMedicare ID - Type Unspecified