Individual
SAID CANTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2829 4TH AVENUE, LAKE CHARLES, LA 70601
(337) 477-7091
(337) 474-4552
Mailing address
PO BOX 122108, DEPT 2108, DALLAS, TX 75312-2108
(337) 477-7091
(337) 474-4552
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
201247
LA
2084P0800X
Psychiatry Physician
MD.201247
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019780
—
LA
Enumeration date
03/05/2007
Last updated
02/22/2018
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