Katherine Cantu
Individual provider Active NPI Family Medicine Physician · Port Lavaca, TX
NPI 1184201238 · NPPES record last updated Sep 16, 2025
Key facts
- NPI
- 1184201238
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- U0084 (TX)
- Practice address
- 1016 N Virginia St
Port Lavaca, TX 77979-3000 - Phone
- (361) 552-0325
- Fax
- (361) 500-6904
- NPI assigned
- Mar 25, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Medical Center
Practice addresses (Care Compare)
815 N Virginia St
Port Lavaca, TX 77979-3025
Phone (361) 552-6713
Hospital & facility affiliations
- Calhoun Home Health, L.L.C.
- Greater Valley Hospice Alliance, LP
- Memorial Medical Center
- Lavaca Bay Nursing and Rehabilitation Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250926002643 | TX | Practitioner - Family Practice | 7810492063 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U0084 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Medical Center | Current |
Accepting new patients | |
| Memorial Medical Center | Current |
Accepting new patients | |
| Citizens Medical Center County of Victoria | Past | Accepting new patients |
Locations
815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325
1016 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | U0084 | TX | Yes |
Addresses
Primary practice location
1016 N Virginia St
Port Lavaca, TX 77979-3000
Mailing address
1016 N Virginia St
Port Lavaca, TX 77979-3000
Phone (361) 552-0325
Other providers in Port Lavaca, TX
- Calhoun County Isd
- Calhoun County Senior Citizens Assn., Inc.
- Calhoun County Senior Citizens Assoc. Inc.
- Calhoun Home Health, LLC
- Iliana Candelaria Campos
- Marcus Gayland Caughron
- Michael Caughron
- Child Welfare Alliance of Calhoun County Inc.
- Citizens Medical Center County of Victoria
- Penny Prapinporn Clay
All providers in Port Lavaca, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.