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Individual

DR. BRANDON ROBERT CANTAZARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1330 E 6TH ST STE 105, WESLACO, TX 78596-6608
(956) 296-7710
(956) 296-7705
Mailing address
PO BOX 531968, HARLINGEN, TX 78553-1968
(833) 887-4863
(956) 966-8572

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R5523
TX
208M00000X
Hospitalist Physician
R5523
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3852444-01
TX
01
8JT012
BCBS
TX
Enumeration date
04/07/2015
Last updated
09/23/2024
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