Cassandra Dearth
Nurse Practitioner, Family in San Antonio, TX. Individual provider (NPI-1).
NPI number1982199485
StatusActive
Last updated in NPPESFeb 25, 2021
Details
- NPI
- 1982199485
- Entity type
- Individual (NPI-1)
- Name
- Cassandra Dearth
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2018
- Certification date
- Feb 25, 2021
- Last updated
- Feb 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP143463 | TX | Yes |
| 363L00000X | Nurse Practitioner | AP143463 | TX |
Practice location
5282 Medical Dr Ste 250San Antonio, TX 78229-6039
Phone 210-358-8820 · Fax 210-358-9434
Mailing address
Po Box 734812Dallas, TX 75373-4812
Phone 210-358-9500 · Fax 210-358-9183
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