Provider Demographics
NPI:1073153136
Name:CARMON, CASSANDRA FLORES (FNP-C)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:FLORES
Last Name:CARMON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3514 HIGHWAY 36 S STE 600
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-9119
Mailing Address - Country:US
Mailing Address - Phone:281-261-0370
Mailing Address - Fax:
Practice Address - Street 1:3514 HIGHWAY 36 S STE 600
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-9119
Practice Address - Country:US
Practice Address - Phone:281-261-0370
Practice Address - Fax:281-762-7187
Is Sole Proprietor?:No
Enumeration Date:2020-01-07
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144482363LF0000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily