Provider Demographics
NPI:1659497097
Name:CANKAR, PAUL ANTHONY (LPT)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:ANTHONY
Last Name:CANKAR
Suffix:
Gender:M
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 BEE CAVE RD
Mailing Address - Street 2:100
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5226
Mailing Address - Country:US
Mailing Address - Phone:512-732-0102
Mailing Address - Fax:512-732-0119
Practice Address - Street 1:5300 BEE CAVE RD
Practice Address - Street 2:100
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5226
Practice Address - Country:US
Practice Address - Phone:512-732-0102
Practice Address - Fax:512-732-0119
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1143055225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8C0941Medicare ID - Type Unspecified