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Individual
TRAVIS CASILLAS
Active
Individual
TRAVIS CASILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
833654
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
AP141365
TX
Other
Enumeration date
03/29/2019
Last updated
04/13/2019
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