Healthcare Provider Details

I. General information

NPI: 1275575771
Provider Name (Legal Business Name): CASSANDRA N ARCENEAUX-BRADBERRY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7550 OFFICE CITY DR
HOUSTON TX
77012-4115
US

IV. Provider business mailing address

PO BOX 392929
PITTSBURGH PA
15251-9900
US

V. Phone/Fax

Practice location:
  • Phone: 713-495-3700
  • Fax:
Mailing address:
  • Phone: 713-461-2915
  • Fax: 713-461-5307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberM0642
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: