MEDICARE: DONNA L CASEY MD PLLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1336988864
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DONNA L CASEY MD PLLC

Provider Business Mailing Address
First Line	:	8210 WALNUT HILL LN STE 218
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4488
Country	:	US
Telephone Number	:	214-691-5491
Fax Number	:	214-265-0588

Provider Business Practice Location Address
First Line	:	8210 WALNUT HILL LN STE 218
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4488
Country	:	US
Telephone Number	:	214-691-5491
Fax Number	:	214-265-0588

Authorized Official
Title or Position	:	MEDICAL DOCTOR
Name	:	DR. DONNA L CASEY
Credential	:	MD
Telephone Number	:	214-691-5491

Provider Enumeration Date	:	05/23/2024
Last Update Date	:	05/23/2024

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