Individual
JEFFERY S CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
H6092
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099601903
—
TX
01
—
200018562
RAILROAD MEDICARE
TX
01
—
8AJ785
BCBS
—
Enumeration date
05/03/2006
Last updated
10/16/2018
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