Provider Demographics
NPI:1558189191
Name:CANTU, ANTONIO ESTEBAN (FNP-C)
Entity type:Individual
Prefix:
First Name:ANTONIO
Middle Name:ESTEBAN
Last Name:CANTU
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 GENTLE BREEZE
Mailing Address - Street 2:
Mailing Address - City:FLORESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78114-3351
Mailing Address - Country:US
Mailing Address - Phone:830-391-0800
Mailing Address - Fax:
Practice Address - Street 1:810 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:KARNES CITY
Practice Address - State:TX
Practice Address - Zip Code:78118-3112
Practice Address - Country:US
Practice Address - Phone:830-780-3525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1170777363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily