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 |