Individual
LUIS CASAUBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6500 NORTH MO PAC EXPRESSWAY, BUILDING 3, SUITE 200, AUSTIN, TX 78731
(512) 458-8400
(512) 458-8593
Mailing address
6500 NORTH MO PAC EXPRESSWAY, BUILDING 3, SUITE 200, AUSTIN, TX 78731
(512) 458-8400
(512) 458-8593
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
M0369
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8M1371
BCBS OF TEXAS INDIVIDUAL #
TX
Enumeration date
02/22/2006
Last updated
01/06/2011
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