DANIEL JEREMIAH CONCANNON

DALLAS, TX
NPI1962133975
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X 
(Licence: TX  2230)
Additional Taxonomies224P00000X Prosthetist
(Licence: TX  2230)
Enumeration Date2022-06-21
Last Update Date2022-06-21
Business Address
DANIEL JEREMIAH CONCANNON
2222 WELBORN ST
DALLAS, TX 75219-3924
Phone number: 214-559-5000
Mailing Address
DANIEL JEREMIAH CONCANNON
2222 WELBORN ST
DALLAS, TX 75219-3924
Phone number: 214-559-5135
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