Healthcare Provider Details

I. General information

NPI: 1710131578
Provider Name (Legal Business Name): GERALD CASAS, M.D., LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2008
Last Update Date: 07/11/2023
Certification Date: 07/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1485 W WARM SPRINGS RD STE 103
HENDERSON NV
89014-7632
US

IV. Provider business mailing address

PO BOX 777100
HENDERSON NV
89077
US

V. Phone/Fax

Practice location:
  • Phone: 702-898-7226
  • Fax: 702-898-6921
Mailing address:
  • Phone: 702-898-7226
  • Fax: 702-898-6921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number12486
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number7946
License Number StateNV

VIII. Authorized Official

Name: GERALD CASAS
Title or Position: M.D. / CEO
Credential: M.D.
Phone: 702-898-7226