Provider Demographics
NPI:1558403642
Name:ASHLEY CASARES DBA
Entity type:Organization
Organization Name:ASHLEY CASARES DBA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:CASARES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-386-1500
Mailing Address - Street 1:1212 S 28TH AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-7207
Mailing Address - Country:US
Mailing Address - Phone:956-386-1500
Mailing Address - Fax:956-386-1500
Practice Address - Street 1:1510 S 3RD AVE
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-5416
Practice Address - Country:US
Practice Address - Phone:956-207-3217
Practice Address - Fax:956-386-1500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care