| Sara A Cantu Corp | |
|
1751 Broad Park Cir S Suite 207 Mansfield TX 76063-7826 | |
| (214) 288-0202 | |
| (817) 473-7787 |
| Full Name | Sara A Cantu Corp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1751 Broad Park Cir S, Mansfield, Texas |
| Authorized Official Name and Position | Sara Anne Cantu (OWNER) |
| Authorized Official Contact | 2142880202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sara A Cantu Corp 401 Meadowbrook Dr Arlington TX 76010-2035 Ph: (214) 288-0202 | Sara A Cantu Corp 1751 Broad Park Cir S Suite 207 Mansfield TX 76063-7826 Ph: (214) 288-0202 |
| NPI Number | 1306188917 |
|---|---|
| Provider Enumeration Date | 03/21/2013 |
| Last Update Date | 03/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306188917 | NPI | - | NPPES |
| 1285934711 | Other | NPI1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Texas) | Primary |
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