Provider Demographics
NPI:1083867915
Name:THOMAS, CASSANDRA DENISE (CNA)
Entity Type:Individual
Prefix:MS
First Name:CASSANDRA
Middle Name:DENISE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:MS
Other - First Name:C
Other - Middle Name:DENISE
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CNA
Mailing Address - Street 1:13913 ELLA BLVD
Mailing Address - Street 2:APT 403
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-2590
Mailing Address - Country:US
Mailing Address - Phone:281-872-3633
Mailing Address - Fax:262-247-1288
Practice Address - Street 1:13913 ELLA BLVD
Practice Address - Street 2:APT 403
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-2590
Practice Address - Country:US
Practice Address - Phone:281-872-3633
Practice Address - Fax:262-247-1288
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA085751123747P1801X, 374U00000X, 376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide