Provider Demographics
NPI:1619501533
Name:DEAN, CASSIE R (PA)
Entity Type:Individual
Prefix:MS
First Name:CASSIE
Middle Name:R
Last Name:DEAN
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:12309 N MOPAC EXPY STE 100
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-2604
Mailing Address - Country:US
Mailing Address - Phone:512-339-4040
Mailing Address - Fax:512-339-1663
Practice Address - Street 1:12309 N MOPAC EXPY STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-2604
Practice Address - Country:US
Practice Address - Phone:512-339-4040
Practice Address - Fax:123-391-6635
Is Sole Proprietor?:No
Enumeration Date:2020-02-29
Last Update Date:2023-11-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA14612363A00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant