Individual
ROBERTO FERNANDO CASAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q5982
TX
207RP1001X
Pulmonary Disease Physician
Primary
Q5982
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
354189801
—
TX
01
—
354189802
CSHCN MEDICAID
TX
01
—
8FY514
BCBS
TX
01
—
P01779846
RR MEDICARE
TX
Enumeration date
02/06/2009
Last updated
07/08/2021
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