Provider Demographics
NPI:1821034364
Name:CANTU, FRANCISCO (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:
Last Name:CANTU
Suffix:
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 1:803 POINCIANA AVE
Mailing Address - Street 2:
Mailing Address - City:MAMOU
Mailing Address - State:LA
Mailing Address - Zip Code:70554-2201
Mailing Address - Country:US
Mailing Address - Phone:337-468-4038
Mailing Address - Fax:337-468-4042
Practice Address - Street 1:803 POINCIANA AVE
Practice Address - Street 2:
Practice Address - City:MAMOU
Practice Address - State:LA
Practice Address - Zip Code:70554-2201
Practice Address - Country:US
Practice Address - Phone:337-468-4038
Practice Address - Fax:337-468-4042
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-22
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA03617R207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1157368Medicaid
LA50388Medicare PIN
LAB62358Medicare UPIN