| Michelle L. Cantu, Md, P.a. | |
|
16007 Via Shavano Suite 102 San Antonio TX 78249-2358 | |
| (210) 615-5230 | |
| (210) 615-9400 |
| Full Name | Michelle L. Cantu, Md, P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 16007 Via Shavano, San Antonio, Texas |
| Authorized Official Name and Position | Michelle L Cantu (PRESIDENT) |
| Authorized Official Contact | 2106155230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle L. Cantu, Md, P.a. 16007 Via Shavano Suite 102 San Antonio TX 78249-2358 Ph: (210) 615-5230 | Michelle L. Cantu, Md, P.a. 16007 Via Shavano Suite 102 San Antonio TX 78249-2358 Ph: (210) 615-5230 |
| NPI Number | 1982929485 |
|---|---|
| Provider Enumeration Date | 03/29/2010 |
| Last Update Date | 04/30/2010 |
| Medicare PECOS PAC ID | 8820126436 |
|---|---|
| Medicare Enrollment ID | O20100430000727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982929485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | M9904 (Texas) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | M9904 (Texas) | Primary |
| Provider Name | Michelle L Cantu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710167333 PECOS PAC ID: 2264560762 Enrollment ID: I20100504000260 |
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