Provider Demographics
NPI:1215624184
Name:CANO, OSCAR F
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:F
Last Name:CANO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 LA PALMA DR
Mailing Address - Street 2:
Mailing Address - City:PALMVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:78572-7611
Mailing Address - Country:US
Mailing Address - Phone:956-400-7206
Mailing Address - Fax:
Practice Address - Street 1:1100 LA PALMA DR
Practice Address - Street 2:
Practice Address - City:PALMVIEW
Practice Address - State:TX
Practice Address - Zip Code:78572-7611
Practice Address - Country:US
Practice Address - Phone:956-400-7206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-20
Last Update Date:2023-05-09
Deactivation Date:2023-04-20
Deactivation Code:
Reactivation Date:2023-05-09
Provider Licenses
StateLicense IDTaxonomies
TX022364253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care