Provider Demographics
NPI:1467650507
Name:CASIMIRE, THALIA N (MD)
Entity Type:Individual
Prefix:DR
First Name:THALIA
Middle Name:N
Last Name:CASIMIRE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13300 HARGRAVE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4532
Mailing Address - Country:US
Mailing Address - Phone:281-357-0111
Mailing Address - Fax:281-255-9639
Practice Address - Street 1:13300 HARGRAVE RD STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4532
Practice Address - Country:US
Practice Address - Phone:281-357-0111
Practice Address - Fax:281-255-9639
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-8410207RP1001X, 207RS0012X
ARE8410207RC0200X
TXQ6813207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX372873501Medicaid
AR204394001Medicaid