MEDICARE: MARIA CANO

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	101YP2500X	Professional Counselor	81225	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669078184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA CANO

Provider Business Mailing Address
First Line	:	101 FEU FOLLET RD STE 100
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-4234
Country	:	US
Telephone Number	:	713-686-9194
Fax Number	:	713-686-9413

Provider Business Practice Location Address
First Line	:	8000 WEST AVE STE 1
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78213-1837
Country	:	US
Telephone Number	:	713-686-9194
Fax Number	:

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

Provider Enumeration Date	:	12/09/2020
Last Update Date	:	04/19/2022

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Directions to “ MARIA CANO ” Practice Location

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