Provider Demographics
NPI:1538718168
Name:STARR PSYCHIATRIC SERVICES PLLC
Entity type:Organization
Organization Name:STARR PSYCHIATRIC SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:956-627-4874
Mailing Address - Street 1:PO BOX 537
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-1609
Mailing Address - Country:US
Mailing Address - Phone:956-627-4874
Mailing Address - Fax:
Practice Address - Street 1:909 E ESPERANZA AVE STE B
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-1453
Practice Address - Country:US
Practice Address - Phone:956-627-4874
Practice Address - Fax:956-329-2931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-06
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1X3321OtherMEDICARE
TXEB3306OtherRR MEDICARE
TX00RF43OtherBCBS
TX432382601Medicaid