Individual
DR. DENNIS LANE CANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 4TH AVENUE, CANYON, TX 79015-4051
(806) 655-1191
(806) 655-1192
Mailing address
2001 4TH AVENUE, CANYON, TX 79015-4051
(806) 655-1191
(806) 655-1192
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
7973
AZ
207Q00000X
Family Medicine Physician
81173
NM
207Q00000X
Family Medicine Physician
Primary
E9481
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000TP67
BC
—
Enumeration date
10/10/2006
Last updated
07/08/2007
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