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NPI Code Detail

MEDICARE: DR. DAVID BRUCE CASEY JR. MD

MEDICARE:  DR. DAVID BRUCE CASEY JR. MD
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
1207P00000XEmergency Medicine PhysicianAD9470826-508846FL
2207P00000XEmergency Medicine Physician21443MS
3207P00000XEmergency Medicine PhysicianMD60197282WA

General Provider Information

NPI Number : 1598843997
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID BRUCE CASEY JR. MD
Provider Business Mailing Address
First Line : 3727 WILLOW SPRINGS DR
Second Line :
City : MANVEL
State : TX
Zip : 77578-4787
Country : US
Telephone Number : 832-289-0214
Fax Number :
Provider Business Practice Location Address
First Line : 3727 WILLOW SPRINGS DR
Second Line :
City : MANVEL
State : TX
Zip : 77578-4787
Country : US
Telephone Number : 281-692-2288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2006
Last Update Date : 04/13/2011

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Directions to “ DR. DAVID BRUCE CASEY JR. MD” Practice Location

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