Provider Demographics
NPI:1568438844
Name:CANTU, CELIA (DC)
Entity Type:Individual
Prefix:DR
First Name:CELIA
Middle Name:
Last Name:CANTU
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MRS
Other - First Name:CELIA
Other - Middle Name:CANTU
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:8238 LONG POINT RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-2008
Mailing Address - Country:US
Mailing Address - Phone:713-465-5545
Mailing Address - Fax:713-465-6646
Practice Address - Street 1:8238 LONG POINT RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-2008
Practice Address - Country:US
Practice Address - Phone:713-465-5545
Practice Address - Fax:713-465-6646
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8127111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX608174OtherBLUECROSS/BLUESHIELD PROV
TXUPIN U 94128OtherBLUECROSS/BLUESHIELD
TXU94128Medicare UPIN
TX609790Medicare ID - Type Unspecified