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Contact Information

CASSANDRA WHITAKER
4425 W AIRPORT FWY STE 430
IRVING, TX75062-5984
 Phone: 877-361-3627
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Technician, Basic

146N00000X
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for CASSANDRA WHITAKER · (Female)

NPI Number 1114502069
Status Active
Credentials
Entity Individual
Enumeration date 03/12/2021
Last updated 03/09/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 45D2253313
  • VA License # B111376006
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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