Provider Demographics
NPI:1962822684
Name:CASTILLO, ALEXANDER CHASE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:CHASE
Last Name:CASTILLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 749
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-1614
Mailing Address - Country:US
Mailing Address - Phone:956-362-8160
Mailing Address - Fax:956-362-8169
Practice Address - Street 1:1100 E DOVE AVE STE 400
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-4672
Practice Address - Country:US
Practice Address - Phone:956-362-8160
Practice Address - Fax:956-362-8169
Is Sole Proprietor?:No
Enumeration Date:2014-04-21
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT1314208600000X, 2086S0122X
TXBP100502992086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT1314OtherTEXAS MEDICAL BOARD LICENSE