Healthcare Provider Details

I. General information

NPI: 1710848221
Provider Name (Legal Business Name): CASSANDRA HAMMOND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 S NAVASOTA ST
HEARNE TX
77859-3587
US

IV. Provider business mailing address

308 S NAVASOTA ST
HEARNE TX
77859-3587
US

V. Phone/Fax

Practice location:
  • Phone: 979-599-6879
  • Fax:
Mailing address:
  • Phone: 979-599-6879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: