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Individual

PATRICIA CABALLERO

Active
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Individual

PATRICIA CABALLERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

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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