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NPI Code Detail

MEDICARE: JANATTE DIANA KANAAN D.O.

MEDICARE: JANATTE DIANA KANAAN D.O.
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
1207Q00000XFamily Medicine PhysicianP4535TX

General Provider Information

NPI Number : 1679758056
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANATTE DIANA KANAAN D.O.
Provider Business Mailing Address
First Line : 1019 S UTAH AVE
Second Line :
City : WESLACO
State : TX
Zip : 78596-5588
Country : US
Telephone Number : 956-968-0700
Fax Number :
Provider Business Practice Location Address
First Line : 2882 HOLLY RD
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78415-4106
Country : US
Telephone Number : 361-814-2001
Fax Number : 877-928-8238
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2008
Last Update Date : 05/12/2026

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