Provider Demographics
NPI:1811974769
Name:CASTILLO, DOAN T (RPH)
Entity type:Individual
Prefix:MRS
First Name:DOAN
Middle Name:T
Last Name:CASTILLO
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 1:20022 TEXAS LAUREL TRL
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77346-3328
Mailing Address - Country:US
Mailing Address - Phone:281-948-1829
Mailing Address - Fax:713-442-5253
Practice Address - Street 1:8900 LAKES AT 610 DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2525
Practice Address - Country:US
Practice Address - Phone:713-442-5233
Practice Address - Fax:713-442-5253
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35225183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist