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Contact Information

MICHAEL CANNON, DPM
402 E ZAVALA ST
CRYSTAL CITY, TX78839-3337
 Phone: 720-252-7546
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MICHAEL CANNON · (Male)

NPI Number 1922494673
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/09/2015
Last updated 09/24/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 2169
  • TX Medicaid 3520348-01
Hospital affiliation(s)
  • FORT DUNCAN MEDICAL CENTER - (Acute Care)
    3333 N FOSTER MALDONADO BLVD
    EAGLE PASS, TX 78852
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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