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LUIS CASAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3955 56TH ST S STE D, FARGO, ND 58104-4845
(701) 517-7500
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M3178
TX
2080P0205X
Pediatric Endocrinology Physician
Primary
12622
ND
2080P0205X
Pediatric Endocrinology Physician
56285
MN
2080P0205X
Pediatric Endocrinology Physician
M3178
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
137361
SUPERIOR CHIPS
TX
05
185895301
TX
01
752616977052
TRICARE
TX
01
8V0574
BCBS OF TEXAS
TX
Enumeration date
03/14/2006
Last updated
05/01/2023
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