MEDICARE: STEVEN LANE CASEY D.O.

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
1	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	J4028	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992770002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN LANE CASEY D.O.

Provider Business Mailing Address
First Line	:	PO BOX 122089
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76121-2089
Country	:	US
Telephone Number	:	214-526-1133
Fax Number	:

Provider Business Practice Location Address
First Line	:	3131 TURTLE CREEK BLVD
Second Line	:	SUITE #1101
City	:	DALLAS
State	:	TX
Zip	:	75219-5405
Country	:	US
Telephone Number	:	214-526-1133
Fax Number	:	214-526-1136

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	01/07/2013

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Directions to “ STEVEN LANE CASEY D.O.” Practice Location

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