Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Casey Anne Portillo, PA-C

Individual provider Physician Assistant · NPI 1063739381

Casey Anne Portillo, PA-C is a Physician Assistant in Dallas, Texas. Qualified in 2003, 23 years ago. Practices with Dermatology Specialists of America PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
23
Licensed in
TX
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1935 Medical District Dr Pavillion 3rd Fl
Dallas, TX 75235-7701
Phone: (214) 456-1798
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA03803 (TX)

Record details

NPI number1063739381
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 26, 2010
Last updated in NPPESApril 8, 2022
Certification dateApril 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Dermatology Specialists Of America Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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