Doctor Name: | JULIUS CANTU |
NPI Number: | 1437377512 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | F9274 |
Business Practice Address: | 1221 W Ben White Blvd Suite A- 108 Austin, TX - 787046888 |
Business Phone Number: | 5124471400 |
Business Fax Number: | 5129169049 |
Mailing Address: | 12400 W Highway 71, # 350125 AUSTIN |
State: | TX |
Postal Code: | 787386517 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | F9274 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |