Physician Compare National (NPI:1851460695)

HEALTHCARE PROVIDER: DESI CANALS MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1851460695
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557448784
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080411000237
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CANALS
	Individual professional last name
Provider First Name	DESI
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1112 E GRIFFIN PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	MISSION
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	785722409
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450869
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DOCTORS HOSPITAL AT RENAISSANCE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450176
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MISSION REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M