Organization
ACTIVE FOOT SHOES
Active
Other names
Mauricio Cantu Jr
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURICIO CANTU JR. CEO (OWNER)
(361) 334-0563
Entity
Organization
Contact information
Practice address
5540 SARATOGA BLVD STE 100, CORPUS CHRISTI, TX 78413-2953
(361) 334-0563
Mailing address
5540 SARATOGA BLVD STE 100, CORPUS CHRISTI, TX 78413-2953
(361) 334-0563
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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