Provider Demographics
NPI:1497016042
Name:CASIWA, MARY F (MD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:F
Last Name:CASIWA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2961 MOSSROCK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5119
Mailing Address - Country:US
Mailing Address - Phone:210-731-4800
Mailing Address - Fax:210-731-4810
Practice Address - Street 1:7431 NW LOOP 410 STE 109
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-3597
Practice Address - Country:US
Practice Address - Phone:210-477-7190
Practice Address - Fax:210-477-7195
Is Sole Proprietor?:No
Enumeration Date:2012-05-30
Last Update Date:2022-05-04
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Provider Licenses
StateLicense IDTaxonomies
TXR5097207Q00000X, 207Q00000X
WV26434207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine