NPI age
19 years
Enumerated 2006-07-18
● Active
Type 1 · Individual
DR. Carolyn L Cannon, MD PHD
Cannon is 1 of 21 pediatrics providers in Dallas and 1 of 143 in Texas.
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
TX, MO
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-02-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 143 active pediatrics providers in Texas.
NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 79% — 20% of peers are multi-state
Subspecialties
1
In the 49% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
5323 Harry Hines Blvd
Dallas, TX 753907201
Mailing address
2900 E 29th St, Ste 100
Bryan, TX 778022623
Specialties
-
Pediatrics PrimaryA pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory...
-
PediatricsA pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (MO) | 209230002 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 4085 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.