MEDICARE: JORGE CABRERA

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	247200000X	Other Technician	0033221	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558638726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORGE CABRERA

Provider Business Mailing Address
First Line	:	PO BOX 84110
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-0018
Country	:	US
Telephone Number	:	713-440-6700
Fax Number	:	866-867-7395

Provider Business Practice Location Address
First Line	:	13529 S POST OAK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-4007
Country	:	US
Telephone Number	:	713-440-6700
Fax Number	:	866-867-7395

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

Provider Enumeration Date	:	11/16/2011
Last Update Date	:	11/16/2011

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Directions to “ JORGE CABRERA ” Practice Location

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