Individual
CASSIDY DIEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 743-2891
(806) 743-2984
Mailing address
PO BOX 764, MEAD, CO 80542-0764
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
32698256
TX
Other
Enumeration date
08/25/2022
Last updated
03/05/2026
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