Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SU-SAN CANNON SPAIN
Active Sole ProprietorSU-SAN CANNON SPAIN is a In Home Supportive Care Agency healthcare provider located in FORT WORTH, Texas. NPI 1790397255 is currently active in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · FORT WORTH, TX
Registration Details
- NPI Number
- 1790397255
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 17, 2020 (5.8088351438847 yrs)
- Last Updated
- Aug 19, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
1712 WURZBURG DRFORT WORTH, TX, 761343320Browse TX providers · Browse ZIP 76134
- Phone
- 8174761510
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
Other In Home Supportive Care Agency Providers in FORT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| GREGORY FRANKLIN | — | 1518381128 |
| JOYCE MOSS | CNA | 1992177307 |
| MR. STEPHEN PAUL CONWAY | ADMINISTRATOR | 1437505955 |
| BRENDA DENISE WASHINGTON | — | 1326563008 |
| DONNISHA BUNTING | — | 1558843599 |
| ALEXANDRIA LEWIS | — | 1295359453 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.