Dr. Carolyn L Cannon
Pediatric Allergist Pediatric Pulmonologist
5323 Harry Hines Blvd
Dallas
, Texas 75390-7201
Dr. Carolyn L Cannon
Pediatric Allergist Pediatric Pulmonologist
5323 Harry Hines Blvd
Dallas
, Texas 75390-7201
(979) 776-6905
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About
Features
Specialties
- Pediatric Allergist
- Pediatric Pulmonologist
Languages spoken
- English
Location
First Address
- Dr. Carolyn L Cannon
- 2900 E 29th St Ste 100
- Bryan, TX
- Zip : 77802-2623
- Fax : (979) 776-6905
- Phone : (979) 436-0501
Second Address
- Dr. Carolyn L Cannon
- 5323 Harry Hines Blvd
- Dallas, TX
- Zip : 75390-7201
- Fax : (214) 456-5406
- Phone : (214) 456-2857
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2080P0201X | Pediatric Allergist | 2003014838 | MO |
| Y | 2080P0214X | Pediatric Pulmonologist | N4322 | TX |
National Provider Identifier
| NPI | 1740208552 |
|---|---|
| Provider Name | Dr. Carolyn L Cannon |
| First Address | Bryan, TX 77802-2623 |
| Second Address | Dallas, TX 75390-7201 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2006 |
| Last Update Date | 18/02/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 209230002 | (05) | MO |
| G99575 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.