IndividualActive
Carolyn Cannon, MD PHD
NPI 1740208552 · Pediatric Pulmonology Physician · Dallas, TX
Provider details
- NPI number
- 1740208552
- Entity type
- Individual
- Primary specialty
- Pediatric Pulmonology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 2003014838 (MO)
Practice location
5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone: (214) 456-2857
Fax: (214) 456-5406
Mailing address
2900 E 29th St
Bryan, TX 77802-2623
Registry dates
- Enumerated
- 2006-07-18
- Last updated
- 2019-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.