Organization
CARMEN CASAS, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN C CASAS MD (PRESIDENT)
(361) 994-1001
Entity
Organization
Contact information
Practice address
5756 S STAPLES ST, STE J1, CORPUS CHRISTI, TX 78413-3782
(361) 994-1001
(361) 994-1004
Mailing address
5756 S STAPLES ST, STE J1, CORPUS CHRISTI, TX 78413-3782
(361) 994-1001
(361) 994-1004
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
F3424
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F43E
MEDICARE ID-TYPE UNSPECIF
TX
01
—
83J076
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/23/2007
Last updated
08/23/2007
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