Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | P8227 | TX |
Y | 111NI0900X | Internist | P8227 | TX |
N | 207RG0300X | Geriatric Medicine | P8227 | TX |
N | 207RN0300X | Nephrologist | P8227 | TX |
NPI | 1073827762 |
---|---|
Provider Name | Dr. Pablo Alberto Casares |
First Address | El Paso, TX 79923-3157 |
Second Address | El Paso, TX 79912-6287 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2010 |
Last Update Date | 04/09/2019 |