Healthcare Provider Details

I. General information

NPI: 1518938497
Provider Name (Legal Business Name): JAVIER RICARDO CANON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 06/02/2020
Certification Date: 06/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22001 SOUTHWEST FWY STE 300
RICHMOND TX
77469-7001
US

IV. Provider business mailing address

4911 SANDHILL DR
SUGAR LAND TX
77479-5320
US

V. Phone/Fax

Practice location:
  • Phone: 281-633-4940
  • Fax:
Mailing address:
  • Phone: 281-238-7870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License NumberL8573
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: