| Xavier Cantu M.d. | |
|
313 W Village Blvd 104 Laredo TX 78041-2275 | |
| (956) 727-0444 | |
| Not Available |
| Full Name | Xavier Cantu M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 313 W Village Blvd, Laredo, Texas |
| Authorized Official Name and Position | Xavier Cantu (PHYSICIAN) |
| Authorized Official Contact | 9567270444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Xavier Cantu M.d. 313 W Village Blvd Ste 104 Laredo TX 78041-2275 Ph: (956) 727-0444 | Xavier Cantu M.d. 313 W Village Blvd 104 Laredo TX 78041-2275 Ph: (956) 727-0444 |
| NPI Number | 1174665129 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 06/25/2010 |
| Medicare PECOS PAC ID | 4284768441 |
|---|---|
| Medicare Enrollment ID | O20100810001018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174665129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G8037 (Texas) | Primary |
| Provider Name | Raul X Cantu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578740270 PECOS PAC ID: 9638209513 Enrollment ID: I20100810001039 |
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