MEDICARE: MARIO LUIS CABRALES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZC0007X	Surgical Assistant	25-219	WI

General Provider Information

NPI Number	:	1184414120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIO LUIS CABRALES MD

Provider Business Mailing Address
First Line	:	2828 HAYES RD APT 814
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-6637
Country	:	US
Telephone Number	:	786-793-5614
Fax Number	:

Provider Business Practice Location Address
First Line	:	6536 GREATWOOD PKWY STE A
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7153
Country	:	US
Telephone Number	:	713-725-9368
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2025
Last Update Date	:	05/12/2025

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Directions to “ MARIO LUIS CABRALES MD” Practice Location

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