Provider Demographics
NPI:1003106543
Name:ARANDA-CANO, JESUS (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JESUS
Middle Name:
Last Name:ARANDA-CANO
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 BLANCO RD
Mailing Address - Street 2:SUITE 126
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-4360
Mailing Address - Country:US
Mailing Address - Phone:210-699-8700
Mailing Address - Fax:
Practice Address - Street 1:7400 BLANCO RD
Practice Address - Street 2:SUITE 126
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-4360
Practice Address - Country:US
Practice Address - Phone:210-699-8700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-18
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34658103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX280834701Medicaid
TX88225AOtherBLUE CROSS BLUE SHIELD
TX88225AOtherBLUE CROSS BLUE SHIELD