NPI: 1225688583 · CRYSTAL CITY, TX 78839 · Podiatrist · NPI assigned 09/18/2019
| Authorized Official | CANNON, MICHAEL (PODIATRIST) |
| NPI Enumeration Date | 09/18/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $167.76 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 11721 | 12 | 12 | $167.76 |