MEDICARE: PAULA JULIA CANTU FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LC0200X	Critical Care Medicine Nurse Practitioner	1009527	TX
2	363LF0000X	Family Nurse Practitioner	1009527	TX
3	363L00000X	Nurse Practitioner	1009527	TX

General Provider Information

NPI Number	:	1457203218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA JULIA CANTU FNP-C

Provider Business Mailing Address
First Line	:	613 MEADE ST
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78132-0216
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1003 NE LOOP 410
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-1205
Country	:	US
Telephone Number	:	210-654-6000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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