Individual
CASEY MRAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3415 N LOOP 250 W BLDG 4, MIDLAND, TX 79707-6034
(432) 221-3300
Mailing address
4214 ANDREWS HWY STE 240, MIDLAND, TX 79703-4817
(432) 686-6605
(432) 682-2284
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
S0748
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
786679
TX MCARE - PREMIER
TX
Enumeration date
05/17/2016
Last updated
08/14/2020
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