Individual
CASEY ELLEN DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 E INTERSTATE 30 STE 100, ROCKWALL, TX 75087-5402
(214) 912-1531
(469) 757-4890
Mailing address
201 E INTERSTATE 30 STE 100, ROCKWALL, TX 75087-5402
(214) 912-1531
(214) 520-7120
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J9870
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152476101
—
TX
Enumeration date
03/18/2006
Last updated
10/21/2024
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