Organization
MICHELLE L. CANTU, MD, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE L CANTU M.D. (PRESIDENT)
(210) 615-5230
Entity
Organization
Contact information
Practice address
16007 VIA SHAVANO, SUITE 102, SAN ANTONIO, TX 78249-2358
(210) 615-5230
(210) 615-9400
Mailing address
16007 VIA SHAVANO, SUITE 102, SAN ANTONIO, TX 78249-2358
(210) 615-5230
(210) 615-9400
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
M9904
TX
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
M9904
TX
Other
Enumeration date
03/29/2010
Last updated
04/30/2010
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