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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
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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