Provider Demographics
NPI:1518356351
Name:JOSEPH S. CASALY M.D. P.A
Entity Type:Organization
Organization Name:JOSEPH S. CASALY M.D. P.A
Other - Org Name:HEADACHE CENTER OF NORTH TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:CASALY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-221-8583
Mailing Address - Street 1:118 LYNN AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-3706
Mailing Address - Country:US
Mailing Address - Phone:972-221-8583
Mailing Address - Fax:
Practice Address - Street 1:118 LYNN AVE STE 100
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-3706
Practice Address - Country:US
Practice Address - Phone:972-221-8583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-16
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK87222084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty