Basic Information
| Provider Information | |||||||||
| NPI: | 1609875558 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | CASILLAS | ||||||||
| FirstName: | ARTURO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1400 N EL PASO ST | ||||||||
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| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799023438 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9155770444 | ||||||||
| FaxNumber: | 9155770509 | ||||||||
| Practice Location | |||||||||
| Address1: | 1400 N EL PASO ST | ||||||||
| Address2: | BLDG. E | ||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799023437 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9155770444 | ||||||||
| FaxNumber: | 9155770509 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/21/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | J6056 | TX | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.