| Caballero Family Healthcare | |
|
1920 Kirby Pkwy Ste 202 Germantown TN 38138-3697 | |
| (901) 751-9997 | |
| (901) 751-1344 |
| Full Name | Caballero Family Healthcare |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1920 Kirby Pkwy Ste 202, Germantown, Tennessee |
| Authorized Official Name and Position | Mary Kathleen Sullivan (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 9017519997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caballero Family Healthcare 1920 Kirby Pkwy Ste 202 Germantown TN 38138-3697 Ph: (901) 751-9997 | Caballero Family Healthcare 1920 Kirby Pkwy Ste 202 Germantown TN 38138-3697 Ph: (901) 751-9997 |
| NPI Number | 1952724742 |
|---|---|
| Provider Enumeration Date | 01/29/2014 |
| Last Update Date | 01/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952724742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | APN12894 (Tennessee) | Primary |
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