Provider Demographics
NPI:1568139814
Name:WILCOX, CASSANDRA (DVM)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:WILCOX
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2702 CHIMNEYSTONE CIR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-1717
Mailing Address - Country:US
Mailing Address - Phone:281-491-7800
Mailing Address - Fax:
Practice Address - Street 1:1515 LAKE POINTE PKWY
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4088
Practice Address - Country:US
Practice Address - Phone:281-491-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20348225500000X
TX16335225500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist