Provider Demographics
NPI:1659186591
Name:DAVILA, CASIE MORGAN
Entity type:Individual
Prefix:
First Name:CASIE
Middle Name:MORGAN
Last Name:DAVILA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 E FIR AVE
Mailing Address - Street 2:
Mailing Address - City:MULESHOE
Mailing Address - State:TX
Mailing Address - Zip Code:79347-2231
Mailing Address - Country:US
Mailing Address - Phone:806-283-3216
Mailing Address - Fax:
Practice Address - Street 1:221 E FIR AVE
Practice Address - Street 2:
Practice Address - City:MULESHOE
Practice Address - State:TX
Practice Address - Zip Code:79347-2231
Practice Address - Country:US
Practice Address - Phone:806-283-3216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor