Organization
MARK M. CASILLAS, M.D., P.A.
Active
Other names
Foot and Ankle Center of South Texas
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE FLEMING (OFFICE MANAGER)
(210) 224-2655
Entity
Organization
Contact information
Practice address
414 NAVARRO ST, SUITE 1616, SAN ANTONIO, TX 78205-2516
(210) 224-2655
(866) 644-0889
Mailing address
414 NAVARRO ST, SUITE 1616, SAN ANTONIO, TX 78205-2516
(210) 224-2655
(866) 644-0889
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J1917
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1999781
—
TX
Enumeration date
09/11/2008
Last updated
12/02/2009
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