Individual provider · Type 1 NPI

Cassidy Marie Lane

Student in an Organized Health Care Education/Training Program · Fort Worth, TX

NPI number 1356046056 Active

Practice location

1500 S Main St
Fort Worth, TX 76104-4917

Call (817) 702-3431 Map

Mailing address

10301 Bridgetown Ln
Crowley, TX 76036-3998

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XV3362 (TX)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356046056

Cassidy Marie Lane's National Provider Identifier is 1356046056, issued on Apr 3, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Worth, TX. The record was last updated on Feb 16, 2025.