Healthcare Provider Details

I. General information

NPI: 1548198716
Provider Name (Legal Business Name): STORM CANTU PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4109 WOODY LN
BRYAN TX
77803-0657
US

IV. Provider business mailing address

4109 WOODY LN
BRYAN TX
77803-0657
US

V. Phone/Fax

Practice location:
  • Phone: 956-467-6502
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JAVIER CANTU
Title or Position: OWNER
Credential:
Phone: 956-467-6502