Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | K9240 | TX |
NPI | 1003928979 |
---|---|
Provider Name | Dr. Patricia Ann Cantu |
First Address | Corpus Christi, TX 78413 |
Second Address | Corpus Christi, TX 78413-5506 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 09/12/2013 |