Organization
JORGE CASAS GANEM MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE CASAS GANEM M D (PRESIDENT)
(214) 691-9777
Entity
Organization
Contact information
Practice address
8230 WALNUT HILL LN, SUITE 514, DALLAS, TX 75231-4482
(214) 691-9777
(214) 691-1123
Mailing address
8230 WALNUT HILL LN, SUITE 514, DALLAS, TX 75231-4482
(214) 691-9777
(214) 691-1123
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L2174
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191642101
—
TX
01
—
BCBS
0077NX
TX
Enumeration date
10/06/2006
Last updated
09/26/2008
Update your record
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