Individual
CESAR EMILIO CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5702 E CENTRAL TEXAS EXPY, KILLEEN, TX 76543-5500
(254) 680-7301
Mailing address
731 ARMADILLO LN, COPPERAS COVE, TX 76522-6144
(254) 780-7626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H1691
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1351074-11
—
TX
01
—
1351074-12
CSHCN
TX
01
—
8J9876
BLUE SHIELD
TX
01
—
P00195365
RR/MEDICARE
TX
Enumeration date
04/20/2006
Last updated
10/02/2013
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