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General NPI Number Information
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NPI Number | 1184414120
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Entity Type | Individual
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Provider Name | MARIO LUIS CABRALES MD
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Gender | Male
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 6536 GREATWOOD PKWY STE A
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City | SUGAR LAND
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State | TX
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Zip | 77479-7153
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Country | US
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Telephone | 713-725-9368
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Fax |
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Provider Business Mailing Address
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Address Line | 2828 HAYES RD APT 814
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City | HOUSTON
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State | TX
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Zip | 77082-6637
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Country | US
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Telephone | 786-793-5614
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Fax |
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 25-219
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License Number State | WI
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