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General NPI Number Information
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NPI Number | 1134209562
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Entity Type | Individual
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Provider Name | MICHELLE RAYE CABALLERO M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 17580 IH 45 SOUTH WL-330
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City | CONROE
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State | TX
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Zip | 77384
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Country | US
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Telephone | 936-267-5000
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Fax | 832-822-0752
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Provider Business Mailing Address
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Address Line | 6621 FANNIN STREET A3300
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City | HOUSTON
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State | TX
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Zip | 77030-2303
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Country | US
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Telephone | 832-824-1000
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Fax | 832-822-0752
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | M1554
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License Number State | TX
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