# CASA PEDIATRIC URGENT CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CASA PEDIATRIC URGENT CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437980943
- **Authorized official:** MS. NAYRA BUTRON (PRACTICE MANAGER)
- **Authorized official phone:** (571) 866-0963

## Contact information

- **Practice address:** 14130 NOBLEWOOD PLZ STE 105, WOODBRIDGE, VA 22193-1465
- **Practice address phone:** (703) 485-0470
- **Mailing address:** 14130 NOBLEWOOD PLZ STE 105, WOODBRIDGE, VA 22193-1465
- **Mailing address phone:** (703) 485-0470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | — | NULL | Yes |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2024
- **Last updated:** 08/08/2024