Provider Demographics
NPI:1780778829
Name:CASKEY, TRENT A (DC)
Entity type:Individual
Prefix:MR
First Name:TRENT
Middle Name:A
Last Name:CASKEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9005 DYER ST STE B
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79904-1452
Mailing Address - Country:US
Mailing Address - Phone:915-751-9791
Mailing Address - Fax:915-751-0993
Practice Address - Street 1:9005 DYER ST STE B
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79904-1452
Practice Address - Country:US
Practice Address - Phone:915-751-9791
Practice Address - Fax:915-751-0993
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5240111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXCO6032207Medicaid
TX0089NROtherBCBS GROUP
TX8195807OtherBLUE LINK
TX603220Medicare ID - Type Unspecified
TX8195807OtherBLUE LINK