Individual
CASSANDRA KAY MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 873-8890
(303) 306-7753
Mailing address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0003972
CO
363A00000X
Physician Assistant
Primary
PA12488
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76376541
—
CO
Enumeration date
05/12/2014
Last updated
05/24/2022
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