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NPI Code Detail

MEDICARE: DR. ANN CABALLERO PSY.D.

MEDICARE: DR. ANN CABALLERO PSY.D.
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
1103TC2200XClinical Child & Adolescent Psychologist37250TX

General Provider Information

NPI Number : 1790341261
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANN CABALLERO PSY.D.
Provider Business Mailing Address
First Line : 12119 AUBURN HILLS DR
Second Line :
City : TOMBALL
State : TX
Zip : 77377-8614
Country : US
Telephone Number : 270-804-3300
Fax Number :
Provider Business Practice Location Address
First Line : 20333 ST HWY 249 STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77070-2613
Country : US
Telephone Number : 832-263-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2019
Last Update Date : 06/11/2019

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