Casillas, Mark M
Casillas, Mark M is an individual health care provider with primary practice located at 1139 E Sonterra Blvd Ste 205 , San Antonio TX 78258-4349. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Casillas, Mark M can be contacted via phone (210) 874-3359.Contact Information
Primary practice address
1139 E Sonterra Blvd Ste 205
San Antonio TX 78258-4349
Phone: (210) 874-3359
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | J1917 | Texas |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | J1917 | Texas |
Profile Details
| NPI number | 1598709305 |
|---|---|
| LBN Legal business name | Casillas, Mark M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Feb 10th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598709305 | NPPES |
| Texas | Other | 5972563 | AETNA |
| Texas | Other | 8K6270 | AETNA |
| Texas | MEDICAID | 048005502 | AETNA |
| Texas | Other | P00088532 | AETNA |
| Texas | Other | 1676698 | AETNA |
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