Organization
DONNA N CANLAS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA N CANLAS MD (CEO)
(713) 526-5588
Entity
Organization
Contact information
Practice address
1200 BINZ ST, 1020, HOUSTON, TX 77004-6900
(713) 526-5588
(713) 526-5599
Mailing address
1200 BINZ ST, 1020, HOUSTON, TX 77004-6900
(713) 526-5588
(713) 526-5599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K3119
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10030907
AMERIGROUP
TX
05
—
124504507
—
TX
Enumeration date
11/03/2006
Last updated
08/30/2016
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