Individual
DR. LYNAE S. CANALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3533 S ALAMEDA ST, #303, JOSEPH M. SLOAN BLDG., CORPUS CHRISTI, TX 78411-1721
(361) 853-3222
(361) 561-2692
Mailing address
3533 SOUTH ALAMEDA # 303, J M SLOAN MEDICAL CENTER, CORPUS CHRISTI, TX 78411-1721
(361) 853-3222
(361) 853-7311
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L4278
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155043601
—
TX
01
—
510361YRWW
MEDICARE
TX
Enumeration date
08/21/2005
Last updated
07/01/2020
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