Casillas, Michael A

Casillas, Michael A is an individual health care provider with primary practice located at 6501 Blanco Rd , San Antonio TX 78216. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Casillas, Michael A can be contacted via phone (210) 341-7264.

Contact Information

Primary practice address
6501 Blanco Rd San Antonio TX 78216
Phone: (210) 341-7264
Fax: (210) 341-2022
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 15897 Texas

Profile Details

NPI number 1407835069
LBN Legal business name Casillas, Michael A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Jul 8th, 2007 - about 17 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 1407835069 NPPES
Other 731009960006 TRICARE
Other 838355 TRICARE
Other 80W703 TRICARE

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