Search › Texas › 253Z00000X
Su-San Cannon Spain
NPI 1790397255 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1712 Wurzburg Dr
Fort Worth, TX 76134 - Phone
- (817) 476-1510
Registry record
- Primary taxonomy
- 253Z00000X
253Z00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-08-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas