Healthcare Provider Details

I. General information

NPI: 1295683936
Provider Name (Legal Business Name): MRS. CASSANDRA R HAYWOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. CASSANDRA RENEE BREWER

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2451 W GRAPEVINE MILLS CIR # 1054
GRAPEVINE TX
76051-2096
US

IV. Provider business mailing address

2451 W GRAPEVINE MILLS CIR # 1054
GRAPEVINE TX
76051-2096
US

V. Phone/Fax

Practice location:
  • Phone: 855-533-1021
  • Fax: 855-758-0114
Mailing address:
  • Phone: 855-533-8734
  • Fax: 855-758-0114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: