MEDICARE: CANAAN HEALTH & WELLNESS CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center
2	261QX0100X	Occupational Medicine Clinic/Center

General Provider Information

NPI Number	:	1356216618
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CANAAN HEALTH & WELLNESS CENTER

Provider Business Mailing Address
First Line	:	PO BOX 2508
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-0063
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8330 LYNDON B JOHNSON FWY STE 1185
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-1388
Country	:	US
Telephone Number	:	214-484-1622
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	PAMELA LOWERY
Credential	:
Telephone Number	:	614-779-9982

Provider Enumeration Date	:	10/07/2025
Last Update Date	:	02/10/2026

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Directions to “CANAAN HEALTH & WELLNESS CENTER ” Practice Location

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