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Individual

DR. JAVIER RICARDO CANON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
22001 SOUTHWEST FWY STE 300, RICHMOND, TX 77469-7001
(281) 633-4940
Mailing address
4911 SANDHILL DR, SUGAR LAND, TX 77479-5320
(281) 238-7870

Taxonomy

Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
L8573
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
178853101
TX
05
178853102
TX
05
178853103
TX
05
178853104
TX
05
178853105
TX
01
P01026725
RAILROAD MEDICARE
TX
Enumeration date
01/30/2006
Last updated
06/02/2020
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