Philip Martinez Cantu, M.D.
Individual provider Active NPI Pain Medicine (Anesthesiology) Physician · Orange, TX
NPI 1235136607 · NPPES record last updated Oct 3, 2012
Key facts
- NPI
- 1235136607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License
- 36044 (TX)
- Practice address
- 220 Strickland Dr
Orange, TX 77630-4750 - Phone
- (409) 883-4900
- Fax
- (409) 883-4913
- NPI assigned
- Jun 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08905 | TX | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Healthcare of North Texas PA | Past | Accepting new patients | |
| Primamed Physicians PLLC | Past |
Accepting new patients | |
| Primamed Physicians PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | K2865 | TX | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 36044 | TX | Yes |
| Interventional Pain Medicine Physician | 208VP0014X | 08905 | TX |
Addresses
Primary practice location
220 Strickland Dr
Orange, TX 77630-4750
Mailing address
PO Box 2859
Orange, TX 77631-2859
Phone (409) 883-4900
Other providers in Orange, TX
- Darla Brister
- Renaurd Brown
- Sally W Burman
- Makenzie Rose Callender
- Mary Cannatella
- Simon David Castaneda
- Miguel E Castellanos
- Chambers County Public Hospital District No 1
- Marian M Chen-Hah
- Frank Kuang-She Chen
All providers in Orange, TX · Pain Medicine (Anesthesiology) 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 Oct 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.