Healthcare Provider Details

I. General information

NPI: 1114461530
Provider Name (Legal Business Name): CASEY EDWARD COTON D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2016
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13830 SAWYER RANCH RD STE 301
DRIPPING SPRINGS TX
78620-5514
US

IV. Provider business mailing address

13830 SAWYER RANCH RD STE 301
DRIPPING SPRINGS TX
78620-5514
US

V. Phone/Fax

Practice location:
  • Phone: 512-212-4670
  • Fax:
Mailing address:
  • Phone: 512-212-4670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberOS19903
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberR2558
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: