MEDICARE: CASA MEDICAL LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1952617433
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASA MEDICAL LLC

Provider Business Mailing Address
First Line	:	7500 N MESA ST
Second Line	:	SUITE 217
City	:	EL PASO
State	:	TX
Zip	:	79912-3501
Country	:	US
Telephone Number	:	915-833-2272
Fax Number	:	915-833-2275

Provider Business Practice Location Address
First Line	:	7500 N MESA ST
Second Line	:	SUITE 217
City	:	EL PASO
State	:	TX
Zip	:	79912-3501
Country	:	US
Telephone Number	:	915-833-2272
Fax Number	:	915-833-2275

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. CENOBIO CHAVEZ
Credential	:
Telephone Number	:	915-833-2272

Provider Enumeration Date	:	08/23/2010
Last Update Date	:	03/11/2015

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