Provider Demographics
NPI:1366776882
Name:CASSIMATIS, BILLIE RUTH (BIRTH DOULA, LCCE,)
Entity type:Individual
Prefix:
First Name:BILLIE
Middle Name:RUTH
Last Name:CASSIMATIS
Suffix:
Gender:F
Credentials:BIRTH DOULA, LCCE,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 WILLOWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-0941
Mailing Address - Country:US
Mailing Address - Phone:214-837-3142
Mailing Address - Fax:469-361-6869
Practice Address - Street 1:3601 WILLOWOOD DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-0941
Practice Address - Country:US
Practice Address - Phone:214-837-3142
Practice Address - Fax:469-361-6869
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula