Provider Demographics
NPI:1922031764
Name:CASAR, JOSE GREGORIO (MD)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:GREGORIO
Last Name:CASAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:GREGORIO
Other - Middle Name:I
Other - Last Name:CASAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 271632
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77277-1632
Mailing Address - Country:US
Mailing Address - Phone:713-791-9989
Mailing Address - Fax:713-791-1991
Practice Address - Street 1:6550 FANNIN ST
Practice Address - Street 2:STE# 2321
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-791-9989
Practice Address - Fax:713-791-1991
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH2287207RC0200X, 207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1311094-02Medicaid
TX00125DOtherBLUE CROSS OF TEXAS
LA1905895Medicaid
TX10043276OtherAMERIGROUP OF TEXAS
TX00125DOtherBLUE CROSS OF TEXAS
TXE10294Medicare UPIN