Healthcare Provider Details

I. General information

NPI: 1063033199
Provider Name (Legal Business Name): RAFAEL CABELLO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2020
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1317 LAKE POINTE PKWY
SUGAR LAND TX
77478-3997
US

IV. Provider business mailing address

3126 WATERS VIEW DR
SUGAR LAND TX
77478-4474
US

V. Phone/Fax

Practice location:
  • Phone: 281-637-7000
  • Fax:
Mailing address:
  • Phone: 281-307-2530
  • Fax: 281-307-2532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberU3486
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberU3486
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberBP10071294
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: