Provider Demographics
NPI:1982433512
Name:CIAS, KASSANDRA (DC)
Entity type:Individual
Prefix:
First Name:KASSANDRA
Middle Name:
Last Name:CIAS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6916 VICTORIA ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77020-3313
Mailing Address - Country:US
Mailing Address - Phone:713-391-5332
Mailing Address - Fax:
Practice Address - Street 1:6921 BRISBANE CT
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-7094
Practice Address - Country:US
Practice Address - Phone:713-300-0327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16052111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation