MEDICARE: JORGE CASAS M.D.

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	207X00000X	Orthopaedic Surgery Physician	L2174	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
2	8W5930	OTHER		BCBS

General Provider Information

NPI Number	:	1013951110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORGE CASAS M.D.

Provider Business Mailing Address
First Line	:	12222 N CENTRAL EXPY
Second Line	:	SUITE 210
City	:	DALLAS
State	:	TX
Zip	:	75243-3720
Country	:	US
Telephone Number	:	214-615-1944
Fax Number	:	214-615-1949

Provider Business Practice Location Address
First Line	:	12222 N CENTRAL EXPY
Second Line	:	SUITE 210
City	:	DALLAS
State	:	TX
Zip	:	75243-3720
Country	:	US
Telephone Number	:	214-615-1949
Fax Number	:	214-615-1949

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

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	06/23/2011

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