Drake, Casey Ellen
Drake, Casey Ellen is an sole proprietor health care provider with primary practice located at 201 E Interstate 30 Ste 100 , Rockwall TX 75087-5402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Drake, Casey Ellen can be contacted via phone (214) 912-1531.Contact Information
Primary practice address
201 E Interstate 30 Ste 100
Rockwall TX 75087-5402
Phone: (214) 912-1531
Fax: (469) 757-4890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | J9870 | Texas |
Profile Details
| NPI number | 1114986254 |
|---|---|
| LBN Legal business name | Drake, Casey Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 18th, 2006 |
| Last updated | Jan 11th, 2024 - about last year |
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 | 1114986254 | NPPES |
| Texas | MEDICAID | 152476101 |
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