MEDICARE: JAMES CANTU MD

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207Q00000X	Family Medicine Physician	P7083	TX

General Provider Information

NPI Number	:	1669749511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES CANTU MD

Provider Business Mailing Address
First Line	:	2601 HOSPITAL BLVD STE 117
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78405-1876
Country	:	US
Telephone Number	:	361-902-4470
Fax Number	:

Provider Business Practice Location Address
First Line	:	2601 HOSPITAL BLVD STE 117
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78405-1876
Country	:	US
Telephone Number	:	361-902-4470
Fax Number	:

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

Provider Enumeration Date	:	11/21/2011
Last Update Date	:	02/19/2024

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Directions to “ JAMES CANTU MD” Practice Location

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