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Individual

MR. ADAN CABALLERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
108 W HUISACHE ST, WESLACO, TX 78596-4727
(956) 973-0373
(956) 447-0031
Mailing address
PO BOX 8037, WESLACO, TX 78599-8037
(956) 973-0373
(956) 447-0031

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
5632
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000112900
TX
05
001002398
TX
Enumeration date
12/05/2006
Last updated
01/20/2009
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