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NPI Code Detail

MEDICARE: INA DARLENE CANNON LMSW

MEDICARE:   INA DARLENE CANNON  LMSW
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
1104100000XSocial Worker116966TX

General Provider Information

NPI Number : 1245110519
Entity Type Code : Individual
Provider Name (Legal Business Name) : INA DARLENE CANNON LMSW
Provider Business Mailing Address
First Line : 10041 MOROCCO RD
Second Line :
City : HOUSTON
State : TX
Zip : 77041-7531
Country : US
Telephone Number : 832-267-8500
Fax Number :
Provider Business Practice Location Address
First Line : 7915 FM 1960 RD W STE 209
Second Line :
City : HOUSTON
State : TX
Zip : 77070-5726
Country : US
Telephone Number : 832-267-8500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2025
Last Update Date : 09/05/2025

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Directions to “ INA DARLENE CANNON LMSW” Practice Location

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