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Organization
UPPER VALLEY PEDIATRIC AND ADOLESCENT HEALTHCARE CLINIC PA
Active
Organization
UPPER VALLEY PEDIATRIC AND ADOLESCENT HEALTHCARE CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROEL ESTEBAN CANTU MD (PHYSICIAN/OWNER)
(956) 787-8100
Entity
Organization
Contact information
Practice address
411 WEST FM 495, SAN JUAN, TX 78589-7419
(956) 787-8100
(956) 787-8117
Mailing address
PO BOX 2419, SAN JUAN, TX 78589-7419
(956) 787-8100
(956) 787-8117
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NULL
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/13/2008
Last updated
07/29/2010
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