Provider Demographics
NPI:1710167333
Name:CANTU, MICHELLE L (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:L
Last Name:CANTU
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Gender:F
Credentials:MD
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Mailing Address - Street 1:14603 HUEBNER RD
Mailing Address - Street 2:STE 3505
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5469
Mailing Address - Country:US
Mailing Address - Phone:210-615-5230
Mailing Address - Fax:210-492-5233
Practice Address - Street 1:16007 VIA SHAVANO
Practice Address - Street 2:STE. 102
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2358
Practice Address - Country:US
Practice Address - Phone:210-615-5230
Practice Address - Fax:210-492-5233
Is Sole Proprietor?:No
Enumeration Date:2007-11-12
Last Update Date:2020-03-06
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Provider Licenses
StateLicense IDTaxonomies
TXM99042084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry