Individual
DANIEL JEREMIAH CONCANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2222 WELBORN ST, DALLAS, TX 75219-3924
(214) 559-5000
Mailing address
2222 WELBORN ST, DALLAS, TX 75219-3924
(214) 559-5135
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
2230
TX
224P00000X
Prosthetist
2230
TX
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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