Carolyn L Cannon in Bryan - Pediatric Pulmonology
Carolyn L Cannon - NPI 1740208552
Carolyn L Cannon is a Pediatric Pulmonology in Bryan, Texas. Carolyn L Cannon practices all healthcare services and medical treatments related to Pediatric Pulmonology. 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 Pulmonology |
|---|---|
| Taxonomy | 2080P0214X |
| Licence No | N4322 |
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Definition: A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in in |
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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 Pulmonology, and the taxonomy classification code that categorizes this area of expertise is 2080P0214X.
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.