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Cassandra Marie Gentry, P.A.

Physician Assistant in Moore, OK. Individual provider (NPI-1).

NPI number1114188232
StatusActive
Last updated in NPPESOct 14, 2026

Details

NPI
1114188232
Entity type
Individual (NPI-1)
Name
Cassandra Marie Gentry
Credential
P.A.
Sex
Female
Sole proprietor
No
Enumeration date
Jun 20, 2008
Certification date
Oct 14, 2026
Last updated
Oct 14, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant1515OKYes
363AM0700X Physician Assistant, Medical1515OK

Practice location

1105 Sw 30th Ct
Moore, OK 73160-2887

Phone 405-378-2727 · Fax 405-378-2776

Mailing address

1105 Sw 30th Ct
Moore, OK 73160-2887

Phone 405-378-2727 · Fax 405-378-2776

Other practice locations

11601 S Western Ave
Oklahoma City, OK 73170-5823

Phone 405-691-5208 · Fax 405-378-0556

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