Individual
JORGE CABRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
0033221
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016097001
—
TX
05
—
087340801
—
TX
05
—
218050701
—
TX
05
—
218050702
—
TX
Enumeration date
11/16/2011
Last updated
11/16/2011
Update your record
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