Cannon Family Medicine Llc in Crowley - Family Medicine

Cannon Family Medicine Llc - NPI 1043372089

Cannon Family Medicine Llc is a Family Medicine in Crowley, Louisiana. Cannon Family Medicine Llc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Cannon Family Medicine Llc is 1043372089. The last update date is 2008-03-24.

Cannon Family Medicine Llc's current location address is 719 N Eastern Ave, Crowley, Louisiana. You can contact this provider via phone number 3377835900 and fax number 3377835914. The mailing address for Cannon Family Medicine Llc is 719 N Eastern Ave, Crowley, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Cannon Family Medicine Llc
Address 719 N Eastern Ave, Crowley, Louisiana
Phone Number 3377835900
Fax Number 3377835914
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Cannon R Stephen
Credentials MD
Telephone Number 3377835900

NPI Number Detail

NPI Number 1043372089
Provider Enumeration Date 2006-12-15
Last Updated Date 2008-03-24

Provider Mailing Address Detail

Address 719 N Eastern Ave
City Crowley
State Louisiana (LA)
Post Code 705263856
Phone Number 3377835900
Fax Number 3377835914

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 25690
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1048577 LA --

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FAQs about Cannon Family Medicine Llc

What is the unique identification code assigned to Cannon Family Medicine Llc by the Centers for Medicare & Medicaid Services?

The Cannon Family Medicine Llc has been issued the NPI (National Provider Identifier) 1043372089. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Cannon Family Medicine Llc is physically located?

The Cannon Family Medicine Llc is situated at the following address: 719 N Eastern Ave, Crowley, LA 705263856.

What is Cannon Family Medicine Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Cannon Family Medicine Llc's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

On what date did the Cannon Family Medicine Llc receive the assignment of its 1043372089 from the Centers for Medicare & Medicaid Services?

The Cannon Family Medicine Llc was issued its 1043372089 by the Centers for Medicare & Medicaid Services on 2006-12-15.

When was the information related to Cannon Family Medicine Llc most recently updated or refreshed?

The details pertaining to the Cannon Family Medicine Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-03-24.

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