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Individual

CELESTE XOCHITL TWELVES CABALLERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
P3692
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14257564
NM
01
1D0948
MEDICARE
TX
05
348028705
TX
01
8MP444
BCBS
TX
Enumeration date
04/22/2009
Last updated
08/03/2020
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