Cantu, Marissa Salazar
Cantu, Marissa Salazar is an individual health care provider with primary practice located at 4502 Medical Dr , San Antonio TX 78229-4402. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Cantu, Marissa Salazar can be contacted via phone (210) 358-2078.Contact Information
Primary practice address
4502 Medical Dr
San Antonio TX 78229-4402
Phone: (210) 358-2078
Fax: (210) 358-1972
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2015015074 | Missouri |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2015015074 | Missouri |
Allopathic & Osteopathic Physicians / Child Abuse Pediatrics | 2080C0008X | S6584 | Texas |
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | S6584 | Texas |
Profile Details
NPI number | 1871869933 |
---|---|
LBN Legal business name | Cantu, Marissa Salazar |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 22nd, 2012 |
Last updated | Feb 17th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871869933 | NPPES |
Texas | MEDICAID | 412395201 | |
Texas | Other | 412395202 |
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