Provider Demographics
NPI:1184711798
Name:DE LAS CASAS, CESAR A (MD)
Entity type:Individual
Prefix:
First Name:CESAR
Middle Name:A
Last Name:DE LAS CASAS
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:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-0813
Practice Address - Street 1:4000 SPENCER HWY STE 200
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1202
Practice Address - Country:US
Practice Address - Phone:713-378-0330
Practice Address - Fax:713-378-0346
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6857207RH0000X, 207RX0202X, 207RH0003X
FLME123692207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX183719701Medicaid
TX175877303Medicaid
TX175877302Medicaid
TX8M8499OtherBCBSTX
8DB840OtherBCBS TX
FL014821000Medicaid
TX8J0631Medicare PIN
H91664Medicare UPIN
8DB840OtherBCBS TX
TX8M8499OtherBCBSTX