National Provider Identifier Database

CAROLYN L CANNON, MD PHD – NPI #1740208552
Pediatric Pulmonology

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 infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.


Contact Information

CAROLYN L CANNON, MD PHD
5323 HARRY HINES BLVD
DALLAS, TX75390-7201
Phone: 214-456-2857
Fax: 214-456-5406
Website:
Specialty Taxonomy Code
* Pediatric Pulmonology 2080P0214X
Pediatric Allergy/Immunology 2080P0201X

* Indicates primary specialty

NPI Profile & details for CAROLYN L CANNON

NPI Number 1740208552
Credentials MD PHD
Entity Individual
Enumeration date 07/18/2006
Last updated 02/18/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • MO License #: 2003014838
  • TX License #: N4322
  • MO Medicaid: 209230002
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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