Provider Demographics
NPI:1265160303
Name:ELIAS-CASTILLO, CARLA ALEJANDRA (PHARMD)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:ALEJANDRA
Last Name:ELIAS-CASTILLO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1802 W MOUNT HOUSTON RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77038-3604
Mailing Address - Country:US
Mailing Address - Phone:281-925-2740
Mailing Address - Fax:281-573-0768
Practice Address - Street 1:1802 W MOUNT HOUSTON RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77038-3604
Practice Address - Country:US
Practice Address - Phone:281-925-2740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX708881835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist