Canon, Javier Ricardo
Canon, Javier Ricardo is an individual health care provider with primary practice located at 22001 Southwest Fwy Ste 300 , Richmond TX 77469-7001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Canon, Javier Ricardo can be contacted via phone (281) 633-4940.Contact Information
Primary practice address
22001 Southwest Fwy Ste 300
Richmond TX 77469-7001
Phone: (281) 633-4940
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2084P2900X | L8573 | Texas |
Profile Details
| NPI number | 1518938497 |
|---|---|
| LBN Legal business name | Canon, Javier Ricardo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Jun 2nd, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518938497 | NPPES |
| Texas | MEDICAID | 178853101 | |
| Texas | MEDICAID | 178853102 | |
| Texas | MEDICAID | 178853103 | |
| Texas | MEDICAID | 178853104 | |
| Texas | Other | P01026725 | |
| Texas | MEDICAID | 178853105 |
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