Provider Demographics
NPI:1669704888
Name:HOPE MANN CASSEL, MD, PLLC
Entity type:Organization
Organization Name:HOPE MANN CASSEL, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:H
Authorized Official - Last Name:CASSEL
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:303-330-4909
Mailing Address - Street 1:17011 LINCOLN AVE
Mailing Address - Street 2:# 5518
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-3144
Mailing Address - Country:US
Mailing Address - Phone:720-862-3858
Mailing Address - Fax:
Practice Address - Street 1:9218 KIMMER DR
Practice Address - Street 2:C#203
Practice Address - City:LONETREE
Practice Address - State:CO
Practice Address - Zip Code:80124-6732
Practice Address - Country:US
Practice Address - Phone:720-862-3858
Practice Address - Fax:720-862-3858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-13
Last Update Date:2010-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO44291207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty