Provider Demographics
NPI:1699957811
Name:CARLOS N CASAS MD PA
Entity type:Organization
Organization Name:CARLOS N CASAS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:NORBERTO
Authorized Official - Last Name:CASAS-ZARAGOZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-740-5039
Mailing Address - Street 1:1802 S ZAPATA HWY STE 1
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78046-6174
Mailing Address - Country:US
Mailing Address - Phone:956-726-2429
Mailing Address - Fax:956-726-5364
Practice Address - Street 1:1802 S ZAPATA HWY STE 1
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78046-6174
Practice Address - Country:US
Practice Address - Phone:956-726-2429
Practice Address - Fax:956-726-5364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX191605801Medicaid
TX191605801Medicaid