Provider Demographics
NPI:1043743750
Name:CANTU-MORALES, NORMA LINDA (NP)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:LINDA
Last Name:CANTU-MORALES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:NORMA
Other - Middle Name:LINDA
Other - Last Name:CANTU-MORALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:730 COOL SPRINGS BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7331
Mailing Address - Country:US
Mailing Address - Phone:877-663-4333
Mailing Address - Fax:312-564-4059
Practice Address - Street 1:320 DECKER DR
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-3999
Practice Address - Country:US
Practice Address - Phone:877-663-4333
Practice Address - Fax:312-564-4059
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-10
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132410363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX414912Medicaid