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NPI Code Detail

MEDICARE: CASSIE A PITTMAN CRNA

MEDICARE:   CASSIE A PITTMAN  CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse810168TX
2367500000XCertified Registered Nurse AnesthetistAP121445TX

General Provider Information

NPI Number : 1316219835
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSIE A PITTMAN CRNA
Provider Business Mailing Address
First Line : PO BOX 208357
Second Line :
City : DALLAS
State : TX
Zip : 75320-8357
Country : US
Telephone Number : 512-485-7208
Fax Number : 737-304-0942
Provider Business Practice Location Address
First Line : 701 E FM 1626 STE 300
Second Line :
City : AUSTIN
State : TX
Zip : 78748-6035
Country : US
Telephone Number : 855-876-7246
Fax Number : 855-277-5070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2012
Last Update Date : 07/16/2025

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Directions to “ CASSIE A PITTMAN CRNA” Practice Location

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