CASEY ANNE PORTILLO PA

HEALTHTEXAS PROVIDER NETWORK

Dr CASEY ANNE PORTILLO PA is a female medical professional, specializing in Physician Assistant. She graduated in 2003.

Contact

HEALTHTEXAS PROVIDER NETWORK

5236 W UNIVERSITY DR
2200 ENDOCRINOLOG SPECIALISTS OF MCKINNE
MCKINNEY
TX
750718113

Tel: 4698005400

CASEY ANNE PORTILLO PA Information

Npi 1063739381
Pac Id 7517941883
Professional Enrollment Id I20040615000649
Last Name PORTILLO
First Name CASEY
Middle Name ANNE
Suffix
Gender F
Credential PA
Medical School Name OTHER
Graduation Year 2003
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name HEALTHTEXAS PROVIDER NETWORK
Group Practice Pac Id 1355254210
Number Of Group Practice Members 1008
Line 1 Street Address 5236 W UNIVERSITY DR
Line 2 Street Address 2200 ENDOCRINOLOG SPECIALISTS OF MCKINNE
Marker Of Address Line 2 Suppression
City MCKINNEY
State TX
Zip Code 750718113
Phone Number 4698005400
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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