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1922031764

NPI Code Detail

MEDICARE: MR. JOSE GREGORIO CASAR M.D.

MEDICARE: MR. JOSE GREGORIO CASAR 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	H2287	TX
2	207R00000X	Internal Medicine Physician	H2287	TX
3	207RP1001X	Pulmonary Disease Physician	H2287	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	00125D	OTHER	TX	BLUE CROSS OF TEXAS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	10043276	OTHER	TX	AMERIGROUP OF TEXAS

General Provider Information

NPI Number	:	1922031764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSE GREGORIO CASAR M.D.

Provider Business Mailing Address
First Line	:	PO BOX 271632
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77277-1632
Country	:	US
Telephone Number	:	713-791-9989
Fax Number	:	713-791-1991

Provider Business Practice Location Address
First Line	:	6550 FANNIN ST
Second Line	:	STE# 2321
City	:	HOUSTON
State	:	TX
Zip	:	77030-2717
Country	:	US
Telephone Number	:	713-791-9989
Fax Number	:	713-791-1991

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

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	07/21/2023

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Directions to “ MR. JOSE GREGORIO CASAR M.D.” Practice Location

Language	Start Address	Practice Location

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