Individual
CHEYANNE M CASAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
308 BLUE RIDGE TRL, AUSTIN, TX 78746-5409
(512) 887-8418
(512) 621-7973
Mailing address
308 BLUE RIDGE TRL, AUSTIN, TX 78746-5409
(630) 624-2030
(512) 621-7973
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
36103609
IL
207Q00000X
Family Medicine Physician
Primary
P4636
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36103609
—
IL
Enumeration date
01/17/2006
Last updated
07/21/2022
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