Provider Demographics
NPI:1538655857
Name:CANTU, FRANCESCA VANESSA (OD)
Entity type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:VANESSA
Last Name:CANTU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 VINE ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78210-2431
Mailing Address - Country:US
Mailing Address - Phone:210-831-5993
Mailing Address - Fax:
Practice Address - Street 1:1955 BABCOCK RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4511
Practice Address - Country:US
Practice Address - Phone:210-530-2733
Practice Address - Fax:210-530-2735
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-10
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9435T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist