Provider Demographics
NPI:1508431198
Name:OCTAVIO CASAS, D.C., P.A.
Entity Type:Organization
Organization Name:OCTAVIO CASAS, D.C., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:OCTAVIO
Authorized Official - Middle Name:
Authorized Official - Last Name:CASAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:806-683-2433
Mailing Address - Street 1:2213 I 40 W
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-1849
Mailing Address - Country:US
Mailing Address - Phone:806-355-5800
Mailing Address - Fax:806-355-1400
Practice Address - Street 1:2213 I 40 W
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-1849
Practice Address - Country:US
Practice Address - Phone:806-355-5800
Practice Address - Fax:806-355-1400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-25
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty