Carolyn L Cannon in Bryan - Pediatric Allergy/immunology
Carolyn L Cannon - NPI 1740208552
Carolyn L Cannon is a Pediatric Allergy/immunology in Bryan, Texas. Carolyn L Cannon practices all healthcare services and medical treatments related to Pediatric Allergy/immunology. The NPI Number for Carolyn L Cannon is 1740208552. The last update date is 2019-02-18.
Carolyn L Cannon's current location address is 2900 E 29th St, Bryan, Texas. You can contact this provider via phone number 9794360501 and fax number 9797766905. The mailing address for Carolyn L Cannon is 2900 E 29th St, Bryan, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn L Cannon |
|---|---|
| Address | 2900 E 29th St, Bryan, Texas |
| Phone Number | 9794360501 |
| Fax Number | 9797766905 |
| Sole Proprietor | N |
| Credentials | MD PHD |
NPI Number Detail
| NPI Number | 1740208552 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2019-02-18 |
Provider Mailing Address Detail
| Address | 2900 E 29th St |
|---|---|
| City | Bryan |
| State | Texas (TX) |
| Post Code | 778022623 |
| Phone Number | 9794360501 |
| Fax Number | 9797766905 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Allergy/immunology |
|---|---|
| Taxonomy | 2080P0201X |
| Licence No | 2003014838 |
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Definition: A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 209230002 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Carolyn L Cannon by the Centers for Medicare & Medicaid Services?
The Carolyn L Cannon has been assigned the NPI (National Provider Identifier) 1740208552. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Carolyn L Cannon?
The Carolyn L Cannon is physically situated at 2900 E 29Th St, in the city of Bryan, state of TX, with the postal code 778022623.
What is Carolyn L Cannon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Carolyn L Cannon is Pediatric Allergy/immunology, and the taxonomy classification code that categorizes this area of expertise is 2080P0201X.
When did Carolyn L Cannon receive its 1740208552 assignment?
The Carolyn L Cannon was assigned its 1740208552 on 2006-07-18, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Carolyn L Cannon most recently updated or revised?
The information pertaining to Carolyn L Cannon, including its address, specialty, and other relevant details, was last updated or revised on 2019-02-18.