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NPI Code Detail

MEDICARE: SARA BETH CASEY M.D.

MEDICARE: SARA BETH CASEY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianK5284TX
22084P0800XPsychiatry Physician2005029293MO

General Provider Information

NPI Number : 1427382571
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA BETH CASEY M.D.
Provider Business Mailing Address
First Line : PO BOX 973
Second Line :
City : STEPHENVILLE
State : TX
Zip : 76401-0009
Country : US
Telephone Number : 254-965-7806
Fax Number : 254-965-4308
Provider Business Practice Location Address
First Line : 1715 SANTA FE DR
Second Line :
City : WEATHERFORD
State : TX
Zip : 76086-6419
Country : US
Telephone Number : 817-599-9337
Fax Number : 254-965-4308
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2009
Last Update Date : 09/22/2009

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