Individual
MELISSA CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2790 PHARMACY RD, RIO GRANDE CITY, TX 78582-6546
(956) 487-5621
(956) 487-5862
Mailing address
2790 PHARMACY RD, RIO GRANDE CITY, TX 78582-6546
(956) 487-5621
(956) 487-5862
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA03502
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107763801
—
TX
01
—
188101302
TPI
TX
Enumeration date
07/31/2006
Last updated
12/27/2011
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