Individual
CASSIE JEAN THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 N DICKINSON DR, RUSK, TX 75785-1006
(903) 284-7741
Mailing address
5131 E US HIGHWAY 84, PALESTINE, TX 75801-1451
(903) 284-7741
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1071339
TX
Other
Enumeration date
03/04/2020
Last updated
10/28/2022
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