MEDICARE: CANTU CAPITAL MANAGEMENT LLC

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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1578929527
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CANTU CAPITAL MANAGEMENT LLC

Provider Business Mailing Address
First Line	:	3027 MARINA BAY DR.
Second Line	:	203
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-2888
Country	:	US
Telephone Number	:	832-864-3769
Fax Number	:	832-864-3883

Provider Business Practice Location Address
First Line	:	3027 MARINA BAY DR STE 203
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-2888
Country	:	US
Telephone Number	:	832-864-3769
Fax Number	:

Authorized Official
Title or Position	:	DC/OWNER
Name	:	ROBERTO O CANTU
Credential	:
Telephone Number	:	832-864-3769

Provider Enumeration Date	:	01/06/2016
Last Update Date	:	07/21/2022

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