Dana Nicole Kantara in League City - Physician Assistant
Dana Nicole Kantara - NPI 1104024355
Dana Nicole Kantara is a Physician Assistant in League City, Texas. Dana Nicole Kantara practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Dana Nicole Kantara is 1104024355. The last update date is 2013-08-01.
Dana Nicole Kantara's current location address is 2500 Encino Ave, League City, Texas. You can contact this provider via phone number 2816361753 and fax number 2814841785. The mailing address for Dana Nicole Kantara is 2500 Encino Ave, League City, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dana Nicole Kantara |
|---|---|
| Address | 2500 Encino Ave, League City, Texas |
| Phone Number | 2816361753 |
| Fax Number | 2814841785 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1104024355 |
|---|---|
| Provider Enumeration Date | 2007-07-10 |
| Last Updated Date | 2013-08-01 |
Provider Mailing Address Detail
| Address | 2500 Encino Ave |
|---|---|
| City | League City |
| State | Texas (TX) |
| Post Code | 775732572 |
| Phone Number | 2816361753 |
| Fax Number | 2814841785 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA03660 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identification code assigned to Dana Nicole Kantara by the Centers for Medicare & Medicaid Services?
The Dana Nicole Kantara has been issued the NPI (National Provider Identifier) 1104024355. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Dana Nicole Kantara's facilities are situated?
The facilities of Dana Nicole Kantara are physically located at the following address: 2500 Encino Ave, League City, TX, 775732572.
What is Dana Nicole Kantara's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dana Nicole Kantara's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Dana Nicole Kantara receive the assignment of its 1104024355 from the Centers for Medicare & Medicaid Services?
The Dana Nicole Kantara was issued its 1104024355 by the Centers for Medicare & Medicaid Services on 2007-07-10.
When was the Dana Nicole Kantara's information last updated?
The Dana Nicole Kantara's information was last updated on 2013-08-01.