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Roberto Fernando Casal

Internal Medicine

Allopathic & Osteopathic Physicians

1515 Holcombe Blvd, Houston, TX 77030-4000

PECOS Enrollment

This provider is enrolled in PECOS as ROBERTO CASAL.

Based on the most recent information from CMS, provider Roberto Fernando Casal is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 8:41 AM.

Profile Details

Provider ID
1619116167
Provider Type
Individual
Full Name
Casal, Roberto Fernando
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
2/6/2009
Last Updated
7/8/2021

Contact Information

Practice Location

1515 Holcombe Blvd, Houston, TX 77030-4000

(713) 792-6161

Unlisted Fax

Mailing Location

PO Box 4439, Houston, TX 77210-4439

(713) 792-2991

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RP1001X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License Q5982 Texas
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Q5982 Texas

Provider Identifiers

ID	Description	Issuer
ID 354189801	Description Medicaid	Issuer Unlisted Texas
ID 8FY514	Description Other	Issuer BCBS Texas
ID 354189802	Description Other	Issuer CSHCN MEDICAID Texas
ID P01779846	Description Other	Issuer RR MEDICARE Texas

Roberto Fernando Casal

PECOS Enrollment

Profile Details

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