Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Gustavo Calvillo Jr., APRN-CNP

Individual provider Family Nurse Practitioner · NPI 1700417011

Mr. Gustavo Calvillo Jr., APRN-CNP is a Nurse Practitioner in Lake Jackson, Texas. Qualified in 2020, 6 years ago. Practices with Your Family Healthcare, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2020
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Practice location Address checks out

229 Parking Way St
Lake Jackson, TX 77566-5226
Phone: (979) 297-4066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1019340 (TX)

Record details

NPI number1700417011
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJanuary 27, 2020
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Your Family Healthcare, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lake Jackson