Alvin Mena Cantero
Nurse Practitioner, Family in Fresno, TX. Individual provider (NPI-1).
NPI number1669845822
StatusActive
Last updated in NPPESNov 9, 2015
Details
- NPI
- 1669845822
- Entity type
- Individual (NPI-1)
- Name
- Alvin Mena Cantero
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 9, 2015
- Last updated
- Nov 9, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP129563 | TX | Yes |
Practice location
1810 Olive Pine DrFresno, TX 77545-2131
Phone 713-545-0752
Mailing address
1810 Olive Pine DrFresno, TX 77545-2131
Phone 713-545-0752
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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