Individual
JORGE LUIS CASQUERO LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2821 MICHAELANGELO DR STE 202, EDINBURG, TX 78539-1406
(956) 362-5880
(956) 362-3598
Mailing address
PO BOX 749, PHARR, TX 78577-1614
(956) 362-5880
(956) 362-3598
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
T1658
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4291627-01
—
TX
01
—
H08PX39301
BCBS
TX
Enumeration date
07/07/2015
Last updated
06/05/2025
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