NPI
92 Reasons
NPI 1275142739
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2020-07-30
- Last updated
- 2020-07-30
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 1332 Teasley Ln Ste 103a
- City
- Denton TX
- Postal code
- 76205-7946
- Phone
- (469) 986-9629
Organization contact
- Name
- Sophia Cannon
- Title
- Directr of Clinical Services
- Phone
- (469) 986-9629
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Denton, TX. 3,590 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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