Individual
DR. MICHAEL CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
402 E ZAVALA ST, CRYSTAL CITY, TX 78839-3337
(720) 252-7546
Mailing address
402 E ZAVALA ST STE 3, CRYSTAL CITY, TX 78839-3337
(830) 448-5188
(830) 768-9248
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
2169
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2169
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3520348-01
—
TX
Enumeration date
04/09/2015
Last updated
09/24/2025
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