Individual
CASSANDRA DEARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5282 MEDICAL DR STE 250, SAN ANTONIO, TX 78229-6039
(210) 358-8820
(210) 358-9434
Mailing address
PO BOX 734812, DALLAS, TX 75373-4812
(210) 358-9500
(210) 358-9183
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP143463
TX
363LF0000X
Family Nurse Practitioner
Primary
AP143463
TX
Other
Enumeration date
06/27/2018
Last updated
02/25/2021
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