Individual
CHARLES CHRISTIAN CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
9939 TEXAS 151 ACCESS RD, SAN ANTONIO, TX 78251
(210) 887-1138
Mailing address
325 QUENTIN DR, SAN ANTONIO, TX 78201-3733
(210) 887-1138
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
685541
TX
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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