Provider Demographics
NPI:1073085536
Name:DANEK, CASSANDRA LEE (FNP)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:LEE
Last Name:DANEK
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:LEE
Other - Last Name:CARR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 208361
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-8354
Mailing Address - Country:US
Mailing Address - Phone:855-876-7246
Mailing Address - Fax:855-277-5070
Practice Address - Street 1:3310 E CENTRAL TEXAS EXPY STE 201
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76543-5308
Practice Address - Country:US
Practice Address - Phone:558-767-2468
Practice Address - Fax:855-277-5070
Is Sole Proprietor?:No
Enumeration Date:2018-12-21
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAPI139996363LF0000X
TXAP139996363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily