Provider Demographics
NPI:1336547140
Name:JANATTE DIANA KANAAN, D.O., P.C.
Entity Type:Organization
Organization Name:JANATTE DIANA KANAAN, D.O., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/D.O.
Authorized Official - Prefix:DR
Authorized Official - First Name:JANATTE
Authorized Official - Middle Name:DIANA
Authorized Official - Last Name:KANAAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:956-698-0700
Mailing Address - Street 1:1019 S UTAH AVE
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-5588
Mailing Address - Country:US
Mailing Address - Phone:956-968-0700
Mailing Address - Fax:
Practice Address - Street 1:1019 S UTAH AVE
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-5588
Practice Address - Country:US
Practice Address - Phone:956-968-0700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-10
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty