Provider Demographics
NPI:1861166050
Name:CASSONE, JOY CHRISTINE
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:CHRISTINE
Last Name:CASSONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1812 ENCHANTED CV
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-6417
Mailing Address - Country:US
Mailing Address - Phone:214-729-1289
Mailing Address - Fax:
Practice Address - Street 1:5136 VILLAGE CREEK DR STE 502
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4460
Practice Address - Country:US
Practice Address - Phone:972-725-0920
Practice Address - Fax:972-725-0919
Is Sole Proprietor?:No
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1263373208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation