Organization
JEFFERY S. CANTRELL, M.D. PA
Active
Organization
JEFFERY S. CANTRELL, M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY SCOTT CANTRELL M.D. (OWNER)
(972) 420-1776
Entity
Organization
Contact information
Practice address
5000 LONG PRAIRIE RD, FLOWER MOUND, TX 75028-2783
(972) 420-1776
(972) 436-6996
Mailing address
5000 LONG PRAIRIE RD, FLOWER MOUND, TX 75028-2783
(972) 420-1776
(972) 221-8685
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0070QP
BLUECROSS
TX
05
—
172536801
—
TX
01
—
DN8478
RAILROAD MEDICARE
TX
Enumeration date
10/26/2006
Last updated
10/13/2021
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