Jeffrey Alexander Cannon in Live Oak - Family Medicine

Jeffrey Alexander Cannon - NPI 1174638902

Jeffrey Alexander Cannon is a Family Medicine in Live Oak, Texas. Jeffrey Alexander Cannon practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jeffrey Alexander Cannon is 1174638902. The last update date is 2007-07-09.

Jeffrey Alexander Cannon's current location address is 11901 Toepperwein Rd, Live Oak, Texas. You can contact this provider via phone number 2106509066 and fax number 2106509067. The mailing address for Jeffrey Alexander Cannon is 11901 Toepperwein Rd, Live Oak, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Alexander Cannon
Address 11901 Toepperwein Rd, Live Oak, Texas
Phone Number 2106509066
Fax Number 2106509067
Sole Proprietor N
Credentials M.D

NPI Number Detail

NPI Number 1174638902
Provider Enumeration Date 2006-08-20
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 11901 Toepperwein Rd
City Live Oak
State Texas (TX)
Post Code 782333161
Phone Number 2106509066
Fax Number 2106509067

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No L8002
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
P00178727 TX RAILROAD MEDICARE
L8002 TX STATE LICENSE
8P1541 TX BLUE CROSS

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FAQs about Jeffrey Alexander Cannon

What is the unique 10-digit identifier code assigned to Jeffrey Alexander Cannon by the Centers for Medicare & Medicaid Services?

The Jeffrey Alexander Cannon has been issued the NPI (National Provider Identifier) 1174638902 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Jeffrey Alexander Cannon's facilities are situated?

The facilities of Jeffrey Alexander Cannon are physically located at the following address: 11901 Toepperwein Rd, Live Oak, TX, 782333161.

What is the Jeffrey Alexander Cannon's specialty and taxonomy code?

The Jeffrey Alexander Cannon's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1174638902 to Jeffrey Alexander Cannon?

The Centers for Medicare & Medicaid Services originally issued the 1174638902 to Jeffrey Alexander Cannon on 2006-08-20.

When was the information regarding Jeffrey Alexander Cannon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jeffrey Alexander Cannon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.

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