Provider Demographics
NPI:1043847973
Name:CASSATA, NICOLAS PATRICK (MD)
Entity type:Individual
Prefix:
First Name:NICOLAS
Middle Name:PATRICK
Last Name:CASSATA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4140 CASON ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-3559
Mailing Address - Country:US
Mailing Address - Phone:713-377-3267
Mailing Address - Fax:
Practice Address - Street 1:4140 CASON ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-3559
Practice Address - Country:US
Practice Address - Phone:713-377-3267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-23
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program