Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Mickie Lynn Cassidy, LSA, CSFA

Individual provider Surgical Physician Assistant · NPI 1033455530

MS. Mickie Lynn Cassidy, LSA, CSFA is a Surgical Physician Assistant in Austin, Texas. Practices as a sole proprietor and works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

1822 W Braker Ln # 81603
Austin, TX 78758-3606
Phone: (512) 973-9222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 Jase Dr, Copperas Cove, TX 76522-4432 — (512) 743-8787

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence SA00649 (TX)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence SA00649 (TX)

Record details

NPI number1033455530
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSA , CSFA
Sole proprietorYes
NPI enumeratedJanuary 2, 2013
Last updated in NPPESMay 2, 2023
Certification dateMay 2, 2023

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