Individual
YOLANDA RUTH CANTU
Active
Individual
YOLANDA RUTH CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00533
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12678894
CAQH
TX
01
—
84NN65
BCBS
TX
01
—
SA00533
TEXAS MEDICAL BOARD
TX
Enumeration date
08/08/2013
Last updated
02/01/2018
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