Provider Demographics
NPI:1497872774
Name:CATES, CASEY ALLEN (MD)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:ALLEN
Last Name:CATES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3409 WORTH ST
Mailing Address - Street 2:SUITE 320
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-2029
Mailing Address - Country:US
Mailing Address - Phone:214-820-8350
Mailing Address - Fax:214-820-8355
Practice Address - Street 1:3409 WORTH ST
Practice Address - Street 2:SUITE 320
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2029
Practice Address - Country:US
Practice Address - Phone:214-820-8350
Practice Address - Fax:214-820-8355
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2007-00754207X00000X, 207XX0801X
TXM1570207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCN0075GMedicaid
TX178086803Medicaid
NC14580OtherNCBCBS
TX8BR116OtherBCBS
NC5907347Medicaid
TXP00695807Medicare PIN
NCI46838Medicare UPIN
TX178086803Medicaid
NC2071475Medicare PIN
TX8BR116OtherBCBS