Individual
CASSANDRA BODUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4817 MEDICAL CENTER DR # 3B, MCKINNEY, TX 75069-1886
(346) 385-2775
Mailing address
2101 EVERGREEN DR, PLANO, TX 75075-9504
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
S9106
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440849401
—
TX
Enumeration date
04/11/2019
Last updated
03/16/2026
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