Provider Demographics
NPI:1164721726
Name:FOX, CASEY A (DO)
Entity Type:Individual
Prefix:DR
First Name:CASEY
Middle Name:A
Last Name:FOX
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 RANCHO LN
Mailing Address - Street 2:STE 135
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-3836
Mailing Address - Country:US
Mailing Address - Phone:702-383-1958
Mailing Address - Fax:702-383-8235
Practice Address - Street 1:901 RANCHO LN
Practice Address - Street 2:STE 135
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-3836
Practice Address - Country:US
Practice Address - Phone:702-383-1958
Practice Address - Fax:702-383-8235
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-22
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program