Provider Demographics
NPI:1255108551
Name:JULIO C CANTU
Entity type:Organization
Organization Name:JULIO C CANTU
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:C
Authorized Official - Last Name:CANTU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-461-0064
Mailing Address - Street 1:501 N WESTGATE DR
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-2704
Mailing Address - Country:US
Mailing Address - Phone:956-874-5230
Mailing Address - Fax:956-461-0065
Practice Address - Street 1:501 N WESTGATE DR
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-2704
Practice Address - Country:US
Practice Address - Phone:956-874-5230
Practice Address - Fax:956-461-0065
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EL CLUB ADULT DAY CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-06
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care