Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | M3490 | TX |
N | 111NI0900X | Internist | M3490 | TX |
Y | 207SG0201X | Clinical Genetics (M.D.) | 12657 | ND |
N | 207SG0201X | Clinical Genetics (M.D.) | M3490 | TX |
NPI | 1497723662 |
---|---|
Provider Name | Kari A Casas |
First Address | Sioux Falls, SD 57117-5074 |
Second Address | Fargo, ND 58102-3641 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 18/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
137362 | SUPERIOR CHIPS (01) | TX |
18181 | (05) | ND |
184081101 | (05) | TX |
752616977052 | TRICARE (01) | TX |
8V0573 | BCBS OF TEXAST (01) | TX |
I07326 | (02) |