Individual
PATRICIA CABALLERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8550 HUEBNER RD, SAN ANTONIO, TX 78240-1803
(210) 541-5300
Mailing address
PO BOX 100322, SAN ANTONIO, TX 78201-1622
(210) 468-2015
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
K4382
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025GK
BLUE CROSS BLUE SHIELD
TX
01
—
118931807
MEDICAID TPI
TX
05
—
193334301
—
TX
Enumeration date
05/31/2006
Last updated
11/13/2023
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