Adan Castro, PA
Individual provider Active NPI Physician Assistant · League City, TX
NPI 1194475772 · NPPES record last updated Sep 13, 2024
Key facts
- NPI
- 1194475772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA15598 (TX)
- Practice address
- 2240 Gulf Fwy S
League City, TX 77573-5143 - Phone
- (832) 505-1234
- NPI assigned
- Mar 25, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hermann Urgent Care PLLC
Utmb Faculty Group Practice
Practice addresses (Care Compare)
12740 Memorial Dr
Houston, TX 77024-4861
Phone (832) 658-3110
1505 E Winding Way Dr
Suite 112 Memorial Hermann Gohealth UC
Friendswood, TX 77546-5395
Phone (281) 993-3860
17448 Hwy 3
FL 2
Webster, TX 77598-4197
Phone (832) 505-1748
19419 Gulf Fwy
Webster, TX 77598-2807
Phone (281) 316-0885
20022 Southwest Fwy
Sugar Land, TX 77479-6310
Phone (346) 521-3628
2020 E Hwy 6
Alvin, TX 77511-8507
Phone (281) 585-2530
215 Oak Dr S
Lake Jackson, TX 77566-5617
2240 Gulf Fwy S
League City, TX 77573-5143
2280 Gulf Fwy S
League City, TX 77573-5143
2309 W Mulberry St
Angleton, TX 77515-2072
Phone (979) 849-6467
2510 Smith Ranch Rd
Suite 102
Pearland, TX 77584-5209
Phone (346) 439-7481
301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222
4057 Riley Fuzzel Rd
Spring, TX 77386-4632
Phone (281) 602-0450
511 Park Grove Dr
Katy, TX 77450-1759
Phone (281) 398-7001
Hospital & facility affiliations
- Iph Home Health Care
- University of Texas Medical Branch Galveston
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220411000875 | TX | Practitioner - Physician Assistant | 4587050091 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Medical Branch at Galveston | Past | Accepting new patients |
Interoperability endpoints
- acastro48745@direct.utmb.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA15598 | TX | Yes |
Addresses
Primary practice location
2240 Gulf Fwy S
League City, TX 77573-5143
Mailing address
PO Box 650859 Dept 710
Dallas, TX 75265
Phone (409) 772-2222
Other providers in League City, TX
- Robert Patrick Casey
- Jennifer Lynn Cassarino
- Castille and Castille DDS PC
- Cynthia Reichard Castille
- M. Gerard Castille
- Mary Elizabeth Cavanagh
- Hannah Cavell
- CCP Constant Care Providers LP
- Travis Ceccacci
- Cedars Chiropractic and Wellness Center, PLLC
All providers in League City, TX · Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.