Doctor Name: | MARTHA CANTU |
NPI Number: | 1154770881 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 71944 |
Business Practice Address: | 127 W Newcombe Ave Pharr, TX - 785774740 |
Business Phone Number: | 9567870727 |
Business Fax Number: | 9567875707 |
Mailing Address: | 127 W Newcombe Ave, PHARR |
State: | TX |
Postal Code: | 785774740 |
Phone Number: | 9567870727 |
Fax Number: | 9567875707 |
NPI Enumeration Date: | 06/03/2016 |
NPI Last Update Date: | 06/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 71944 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |