MEDICARE: CASSANDRA RAASCH ELLIS

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
1	231H00000X	Audiologist	80251	TX

General Provider Information

NPI Number	:	1184506313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSANDRA RAASCH ELLIS

Provider Business Mailing Address
First Line	:	7115 TOPHILL CIR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75248-5548
Country	:	US
Telephone Number	:	972-890-7388
Fax Number	:

Provider Business Practice Location Address
First Line	:	2601 LITTLE ELM PKWY STE 2203
Second Line	:
City	:	LITTLE ELM
State	:	TX
Zip	:	75068-2504
Country	:	US
Telephone Number	:	469-942-8599
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2025
Last Update Date	:	07/21/2025

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Directions to “ CASSANDRA RAASCH ELLIS ” Practice Location

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