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NPI Code Detail

MEDICARE: CARLOS EDUARDO CABALLERO

MEDICARE:   CARLOS EDUARDO CABALLERO
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
1101YM0800XMental Health CounselorNONETX

General Provider Information

NPI Number : 1528992070
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLOS EDUARDO CABALLERO
Provider Business Mailing Address
First Line : 3325 JANWOOD LN
Second Line :
City : GARLAND
State : TX
Zip : 75044-5825
Country : US
Telephone Number : 915-929-1297
Fax Number :
Provider Business Practice Location Address
First Line : 738 LAKESIDE DR
Second Line :
City : DUNCANVILLE
State : TX
Zip : 75116-3154
Country : US
Telephone Number : 915-929-1297
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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Directions to “ CARLOS EDUARDO CABALLERO ” Practice Location

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