| NPI | 1114097748 |
|---|---|
| Professional Name | JOHN WAYNE CASSIDY, PA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0301X Psychiatry & Neurology Brain Injury Medicine (Licence: TX H3450) |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry (Licence: TX H3450) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: TX H3450) | |
| 2084P0005X Psychiatry & Neurology Neurodevelopmental Disabilities (Licence: TX H3450) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX H3450) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2022-09-19 |