# MICHELLE L. CANTU, MD, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982929485
- **Authorized official:** DR. MICHELLE L CANTU M.D. (PRESIDENT)
- **Authorized official phone:** (210) 615-5230

## Contact information

- **Practice address:** 16007 VIA SHAVANO, SUITE 102, SAN ANTONIO, TX 78249-2358
- **Practice address phone:** (210) 615-5230
- **Practice address fax:** (210) 615-9400
- **Mailing address:** 16007 VIA SHAVANO, SUITE 102, SAN ANTONIO, TX 78249-2358
- **Mailing address phone:** (210) 615-5230
- **Mailing address fax:** (210) 615-9400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | M9904 | TX | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | M9904 | TX | Yes |

## Other

- **Enumeration date:** 03/29/2010
- **Last updated:** 04/30/2010