Individual
KARI A CASAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2431
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M3490
TX
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
M3490
TX
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
12657
ND
207SG0201X
Clinical Genetics (M.D.) Physician
M3490
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137362
SUPERIOR CHIPS
TX
05
—
18181
—
ND
05
—
184081101
—
TX
01
—
752616977052
TRICARE
TX
01
—
8V0573
BCBS OF TEXAST
TX
Enumeration date
03/14/2006
Last updated
03/25/2022
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