Provider Demographics
NPI:1760658785
Name:CANTU, DANIEL (CRT)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:CANTU
Suffix:
Gender:M
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9494 KIRBY DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2521
Mailing Address - Country:US
Mailing Address - Phone:713-741-0343
Mailing Address - Fax:713-741-4139
Practice Address - Street 1:9494 KIRBY DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2521
Practice Address - Country:US
Practice Address - Phone:713-741-0343
Practice Address - Fax:713-741-4139
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX56557227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified