# DR. MARK M CASILLAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1598709305
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | J1917 | TX | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | J1917 | TX | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 02/10/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 048005502 | — | TX |
| 01 | — | 1676698 | CIGNA | TX |
| 01 | — | 5972563 | AETNA | TX |
| 01 | — | 8K6270 | BCBS | TX |
| 01 | — | P00088532 | RAILROAD MEDICARE | TX |