Individual
DR. ERIC THEODORE CANCEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2096
(214) 820-0111
Mailing address
5999 SOUTH CUSTER ROAD, SUITE 110 PMB 125, FRISCO, TX 75035-6867
(214) 681-1010
(214) 842-8564
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K5077
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029466201
—
TX
Enumeration date
04/06/2006
Last updated
10/18/2022
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