Provider Demographics
NPI:1992770002
Name:CASEY, STEVEN LANE (DO)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:LANE
Last Name:CASEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 122089
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76121-2089
Mailing Address - Country:US
Mailing Address - Phone:214-526-1133
Mailing Address - Fax:
Practice Address - Street 1:3131 TURTLE CREEK BLVD
Practice Address - Street 2:SUITE #1101
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-5405
Practice Address - Country:US
Practice Address - Phone:214-526-1133
Practice Address - Fax:214-526-1136
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ40282081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX136827613Medicaid
TX136827613Medicaid
TX136827613Medicaid
TX8A2784Medicare PIN