Provider Demographics
NPI:1770296287
Name:PINON, CASSANDRA (FNP)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:PINON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 BENJAMIN ST
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78573-2108
Mailing Address - Country:US
Mailing Address - Phone:956-240-0469
Mailing Address - Fax:
Practice Address - Street 1:2101 S M ST STE A
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1590
Practice Address - Country:US
Practice Address - Phone:956-317-4043
Practice Address - Fax:956-800-4274
Is Sole Proprietor?:No
Enumeration Date:2022-12-29
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1103700363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily