DR. ROBERTO OMAR CANTU (NPI# 1649276213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649276213 |
| Entity Type | Individual |
| Full Name | DR. ROBERTO OMAR CANTU |
| Credential | DC |
| Practice Address |
3027 Marina Bay Dr League City TX 77573-2729 |
| Mailing Address |
3027 Marina Bay Dr 203 League City TX 77573-2888 |
| Practice Telephone | (832) 864-3769 |
| Practice Fax Number | 8585093993 |
| Mailing Telephone | 8328643769 |
| Mailing Fax Number | 8585093993 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2017-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 9787 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 8P1440 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700955630 | Roberto Cantu | Physical Therapist | 301 Main Street Main St. Sw, Gainesville, GA 30501 | 2006-11-07 |
| 1144286782 | Roberto Cantu Jr. | Surgery | 146-01 45 Avenue, Room 211, Flushing, NY 11355 | 2006-04-22 |
| Street Address |
3027 MARINA BAY DR |
| City | LEAGUE CITY |
| State | TX |
| Zip Code | 77573-2729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083080790 | Benjamin Sanford Sheehan | Chiropractor | 3027 Marina Bay Dr, Suite 203, League City, TX 77573-2729 | 2015-08-17 |
| 1124203518 | Eldercom of Clear Lake, Inc | Clinic/Center | 3027 Marina Bay Dr, Suite 110, League City, TX 77573-2729 | 2008-01-03 |
| 1861507527 | Toni Turner | Speech-Language Pathologist | 3027 Marina Bay Dr, #105, League City, TX 77573-2729 | 2006-08-20 |
| 1841213816 | Jamie L Miles | Chiropractor | 3027 Marina Bay Dr, Ste 105, League City, TX 77573-2772 | 2006-07-25 |
| 1326006735 | Donna Fasullo | Social Worker | 3027 Marina Bay Dr, Suite 110, League City, TX 77573-2729 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527306 | Colin Joe Lee | Pharmacist | 1088 W Main St League City, Tx 77573 United States, League City, TX 77573 | 2020-10-28 |
| 1033764931 | Brittany Salinas | Physical Medicine & Rehabilitation | 2205 Colonial Court N, League City, TX 77573 | 2019-08-07 |
| 1366007833 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 2220 E. League City Parkway, Suite 200, League City, TX 77573 | 2019-05-09 |
| 1851863724 | Gina Carter | Durable Medical Equipment & Medical Supplies | 210 S. Hwy 3, Unit B, League City, TX 77573 | 2018-12-17 |
| 1497226393 | Daniel Max & Marcandrea LLC | Optometrist | 3170 Gulf Freeway South, League City, TX 77573 | 2018-12-17 |
| 1972071983 | Chelsie N Chonoski | Nurse Practitioner | 2240 Gulf Freeway South, Suite 2.110, League City, TX 77573 | 2018-11-07 |
| 1730660564 | Rebecca Ann Peth | Physical Therapist | 350 N Wesley Dr., Apt 1123, League City, TX 77573 | 2018-08-29 |
| 1912485087 | Sarwat Hussain Zaffer | Dentist | 1620 W Fm 646, Ste D, League City, TX 77573 | 2018-08-01 |
| 1518468651 | Clear Creek Chiropractic Center | Clinic/Center | 624 West Main Ste 102, League City, TX 77573 | 2018-02-23 |
| 1255850848 | Travis William Prothro | Chiropractor | 1620 W. Fm 646, Suite C, League City, TX 77573 | 2017-09-14 |
| Find all providers in zip 77573 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619480332 | Jessica Erin Bourque | Chiropractor | 240 Farnworth Cir, League City, TX 77573-6714 | 2017-11-16 |
| 1255850848 | Travis William Prothro | Chiropractor | 1620 W. Fm 646, Suite C, League City, TX 77573 | 2017-09-14 |
| 1144762212 | Hansen Chiropractic Pllc | Chiropractor | 1504 W League City Pkwy Ste 100, League City, TX 77573-7337 | 2016-11-07 |
| 1477003374 | Benjamin Hansen | Chiropractor | 1504 W League City Pkwy, Suite 100, League City, TX 77573-7077 | 2016-10-04 |
| 1578929527 | Cantu Capital Management LLC | Chiropractor | 3027 Marina Bay Dr Ste 203, League City, TX 77573-2888 | 2016-01-06 |
| 1700255742 | Jacob Hinojosa | Chiropractor | 3033 Marina Bay Dr Ste 200, League City, TX 77573-3982 | 2015-09-21 |
| 1467857656 | David Davis | Chiropractor | 3000 Invincible Cir Ste B, League City, TX 77573-2956 | 2014-10-30 |
| 1992141071 | Seth Ozasa | Chiropractor | 313 Meadow Wood Ct, League City, TX 77573 | 2013-05-16 |
| 1699029496 | Medical Solutions | Chiropractor | 803 Arlington Pointe Dr, League City, TX 77573-4772 | 2012-10-31 |
| 1801148804 | Brandi Elaine Washer | Chiropractor | 1249 Butler Rd, League City, TX 77573 | 2012-10-15 |
| Find all providers in LEAGUE CITY | ||||
| City | LEAGUE CITY |
| Zip Code | 77573 |
Please comment or provide details below to improve the information on DR. ROBERTO OMAR CANTU.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.