Provider Demographics
NPI:1538293162
Name:CASTELLANOS, NORMA (RPH)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:
Last Name:CASTELLANOS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1743 ALTA VISTA ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77023-2501
Mailing Address - Country:US
Mailing Address - Phone:713-926-5505
Mailing Address - Fax:713-694-2450
Practice Address - Street 1:2310 TIDWELL RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77093-6731
Practice Address - Country:US
Practice Address - Phone:713-694-5977
Practice Address - Fax:713-694-2450
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30434183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist