Individual
ELIAS CABALLERO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10000 RUSHING RD APT 11, EL PASO, TX 79924-3858
(915) 929-2664
Mailing address
10000 RUSHING RD APT 11, EL PASO, TX 79924-3858
(915) 929-2664
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
157129
TX
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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