Individual
DR. JOHN JARRED CANNADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12200 PRESTON RD, DALLAS, TX 75230-2223
(972) 560-2667
Mailing address
12200 PRESTON RD, DALLAS, TX 75230-2223
(972) 560-2667
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
J0454
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85287G
BLUE CROSS
TX
Enumeration date
11/28/2006
Last updated
07/08/2007
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