Cantu, Irma Irene

Cantu, Irma Irene is an individual health care provider with primary practice located at 5460 Babcock Rd Ste 105 , San Antonio TX 78240-3400. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Cantu, Irma Irene can be contacted via phone (210) 694-4999.

Contact Information

Primary practice address
5460 Babcock Rd Ste 105 San Antonio TX 78240-3400
Fax: (210) 923-2974
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 18054 Texas

Profile Details

NPI number 1265569560
LBN Legal business name Cantu, Irma Irene
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Mar 1st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265569560 NPPES
Texas Other 975778 UNITED CONCORDIA ID
Texas Other 1D8054 UNITED CONCORDIA ID
Texas Other D18054 UNITED CONCORDIA ID
Texas MEDICAID 009377501 UNITED CONCORDIA ID

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