Provider Demographics
NPI:1336988864
Name:DONNA L CASEY MD PLLC
Entity type:Organization
Organization Name:DONNA L CASEY MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CASEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-691-5491
Mailing Address - Street 1:8210 WALNUT HILL LN STE 218
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4488
Mailing Address - Country:US
Mailing Address - Phone:214-691-5491
Mailing Address - Fax:214-265-0588
Practice Address - Street 1:8210 WALNUT HILL LN STE 218
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4488
Practice Address - Country:US
Practice Address - Phone:214-691-5491
Practice Address - Fax:214-265-0588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty