Healthcare Provider Details
I. General information
NPI: 1467650507
Provider Name (Legal Business Name): THALIA N CASIMIRE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/10/2007
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13300 HARGRAVE RD STE 100
HOUSTON TX
77070-4532
US
IV. Provider business mailing address
13300 HARGRAVE RD STE 100
HOUSTON TX
77070-4532
US
V. Phone/Fax
- Phone: 281-357-0111
- Fax: 281-255-9639
- Phone: 281-357-0111
- Fax: 281-255-9639
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | Q6813 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | E8410 |
| License Number State | AR |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | E-8410 |
| License Number State | AR |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RS0012X |
| Taxonomy | Sleep Medicine (Internal Medicine) Physician |
| License Number | E-8410 |
| License Number State | AR |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | Q6813 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: