Healthcare Provider Details

I. General information

NPI: 1467480038
Provider Name (Legal Business Name): CARLOS N CASAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 08/30/2022
Certification Date: 08/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 S ZAPATA HWY STE 1
LAREDO TX
78046-6174
US

IV. Provider business mailing address

1802 S ZAPATA HWY STE 1
LAREDO TX
78046-6174
US

V. Phone/Fax

Practice location:
  • Phone: 956-726-2429
  • Fax: 956-726-5364
Mailing address:
  • Phone: 956-726-2429
  • Fax: 956-726-5364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberK1384
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: