Individual
NANCY ELLEN GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9301 N CENTRAL EXPY STE 500, DALLAS, TX 75231-0805
(214) 220-2468
(214) 720-1982
Mailing address
9301 N CENTRAL EXPY STE 500, DALLAS, TX 75231-0805
(214) 220-2468
(214) 720-1982
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA11401
TX
363AS0400X
Surgical Physician Assistant
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—
Other
Enumeration date
08/28/2017
Last updated
01/20/2025
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