Provider Demographics
NPI:1376535203
Name:CANTU, UVALDO JR (MD)
Entity Type:Individual
Prefix:DR
First Name:UVALDO
Middle Name:
Last Name:CANTU
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2230 HAINE DR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8549
Mailing Address - Country:US
Mailing Address - Phone:956-425-4901
Mailing Address - Fax:956-425-4959
Practice Address - Street 1:2230 HAINE DR
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8549
Practice Address - Country:US
Practice Address - Phone:956-425-4901
Practice Address - Fax:956-425-4959
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH2286207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX136856504Medicaid
TX88Y940OtherMEDICARE PROVIDER NO.
TX136856501Medicaid
TXCA885504Medicare ID - Type Unspecified
TXB21669Medicare UPIN