Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tatiana Canon

Individual provider Family Nurse Practitioner · NPI 1467131706

Tatiana Canon is a Nurse Practitioner in Houston, Texas. Qualified in 2023, 3 years ago. Practices with Providence Physician Associates, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2023
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Practice location Address checks out

6306 Fairbanks N Houston Rd
Houston, TX 77040-5192
Phone: (832) 831-9094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10523 Alcott Dr, Houston, TX 77043-2002 — (832) 248-9586

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1151294 (TX)

Record details

NPI number1467131706
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 13, 2023
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Providence Physician Associates — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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