Provider Demographics
NPI:1205657814
Name:CASAS, ROSA I (APRN-CNP)
Entity type:Individual
Prefix:
First Name:ROSA
Middle Name:I
Last Name:CASAS
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1710 E SAUNDERS ST STE B490
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-5471
Mailing Address - Country:US
Mailing Address - Phone:956-724-4799
Mailing Address - Fax:956-725-7199
Practice Address - Street 1:1710 E SAUNDERS ST.
Practice Address - Street 2:STE B490
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5471
Practice Address - Country:US
Practice Address - Phone:956-724-4799
Practice Address - Fax:956-725-7199
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1178143207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology