Organization
SARAH CANNON 0413 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH CANNON CSFA (OWNER)
(469) 826-4723
Entity
Organization
Contact information
Practice address
217 LAKE VIS W, HIGHLAND VILLAGE, TX 75077-6807
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 2550, ROWLETT, TX 75030-2550
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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