Individual
DR. HECTOR LUIS CARABALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-2078
(210) 358-1972
Mailing address
7703 FLOYD CURL DR, MC7977, SAN ANTONIO, TX 78229-3901
(210) 450-9000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M1561
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176655201
—
TX
05
—
176655207
—
TX
01
—
8S4338
BCBS
TX
Enumeration date
02/21/2006
Last updated
04/25/2013
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