Individual
JORGE CABRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13529 S POST OAK RD, HOUSTON, TX 77045-4007
(713) 440-6700
(866) 867-7395
Mailing address
PO BOX 84110, PEARLAND, TX 77584-0018
(713) 440-6700
(866) 867-7395
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
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