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NPI Code Detail

MEDICARE: PABLO CASARES MD PA

MEDICARE: PABLO CASARES MD PA
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
1207R00000XInternal Medicine Physician
2207RN0300XNephrology Physician

General Provider Information

NPI Number : 1770048175
Entity Type Code : Organization
Provider Name (Legal Business Name) : PABLO CASARES MD PA
Provider Business Mailing Address
First Line : 106 MESA PARK DR STE 200
Second Line :
City : EL PASO
State : TX
Zip : 79912-6122
Country : US
Telephone Number : 915-300-3484
Fax Number : 866-531-7508
Provider Business Practice Location Address
First Line : 106 MESA PARK DR STE 200
Second Line :
City : EL PASO
State : TX
Zip : 79912-6122
Country : US
Telephone Number : 915-300-3484
Fax Number : 866-531-7508
Authorized Official
Title or Position : CREDENTIALING SPECIALIST
Name : SHARRON FARRY
Credential :
Telephone Number : 915-630-4607
Provider Enumeration Date : 02/10/2019
Last Update Date : 12/13/2024

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1407719982 — HAROLD P. RADCLIFF
Practice Location Address:
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79912-6122
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Practice Fax: 866-531-7508

Directions to “PABLO CASARES MD PA ” Practice Location

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