Michelle L. Cantu, MD, P.A.
Clinic/Center, Adolescent and Children Mental Health in San Antonio, TX. Organization (NPI-2).
NPI number1982929485
StatusActive
Last updated in NPPESApr 30, 2010
Details
- NPI
- 1982929485
- Entity type
- Organization (NPI-2)
- Legal business name
- Michelle L. Cantu, MD, P.A.
- Organization subpart
- No
- Enumeration date
- Mar 29, 2010
- Last updated
- Apr 30, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | M9904 | TX | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | M9904 | TX |
Practice location
16007 Via ShavanoSuite 102
San Antonio, TX 78249-2358
Phone 210-615-5230 · Fax 210-615-9400
Mailing address
16007 Via ShavanoSuite 102
San Antonio, TX 78249-2358
Phone 210-615-5230 · Fax 210-615-9400
Authorized official
Michelle L Cantu
President
2106155230
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