| Patricia Caballero, Do, Pa | |
|
8550 Huebner Rd San Antonio TX 78240-1803 | |
| (210) 643-7620 | |
| Not Available |
| Full Name | Patricia Caballero, Do, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8550 Huebner Rd, San Antonio, Texas |
| Authorized Official Name and Position | Patricia Caballero (PRESIDENT) |
| Authorized Official Contact | 2104682015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Caballero, Do, Pa Po Box 100322 San Antonio TX 78201-1622 Ph: (210) 468-2015 | Patricia Caballero, Do, Pa 8550 Huebner Rd San Antonio TX 78240-1803 Ph: (210) 643-7620 |
| NPI Number | 1982894531 |
|---|---|
| Provider Enumeration Date | 07/30/2007 |
| Last Update Date | 11/13/2023 |
| Certification Date | 11/13/2023 |
| Medicare PECOS PAC ID | 3274618863 |
|---|---|
| Medicare Enrollment ID | O20080306000327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982894531 | NPI | - | NPPES |
| 00Y606 | Other | TX | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | K4382 (Texas) | Primary |
| Provider Name | Patricia Caballero |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396782504 PECOS PAC ID: 5496766610 Enrollment ID: I20060531000167 |
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