Basic Information
| Provider Information | |||||||||
| NPI: | 1730473539 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JULIUS F CANTU MD PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12400 HWY 71 WEST #350125 | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787386517 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5123635779 | ||||||||
| FaxNumber: | 5122924458 | ||||||||
| Practice Location | |||||||||
| Address1: | 233 W 10TH ST | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752084524 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2149413500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/09/2011 | ||||||||
| LastUpdateDate: | 06/09/2011 | ||||||||
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| AuthorizedOfficialLastName: | CANTU | ||||||||
| AuthorizedOfficialFirstName: | JULIUS | ||||||||
| AuthorizedOfficialMiddleName: | F | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 5123635779 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.