Individual
CASSANDRA ROBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
361 HEIRLOOM DR, FORT WORTH, TX 76134-3950
(682) 301-2042
Mailing address
9213 SAINT MARTIN RD, FORT WORTH, TX 76123-3517
(682) 301-2042
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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