Provider Demographics
NPI:1003945015
Name:TRENT A. CASSKEY, DC, PC
Entity Type:Organization
Organization Name:TRENT A. CASSKEY, DC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TRENT
Authorized Official - Middle Name:A
Authorized Official - Last Name:CASKEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:915-751-9791
Mailing Address - Street 1:9005 DYER ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79904-1452
Mailing Address - Country:US
Mailing Address - Phone:915-751-9791
Mailing Address - Fax:915-751-0993
Practice Address - Street 1:9005 DYER ST
Practice Address - Street 2:SUITE B
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79904-1452
Practice Address - Country:US
Practice Address - Phone:915-751-9791
Practice Address - Fax:915-751-0993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0089NROtherBCBS GROUP NUMBER