Organization Name: | CABALLERO FAMILY HEALTHCARE GROUP PLLC |
NPI Number: | 1346430469 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HUGO A. CABALLERO (OWNER) |
Mailing Address: | 1920 Kirby Pkwy #202 Germantown |
State: | TN US |
Postal Code: | 381383696 |
Phone Number: | 9017519997 |
Fax Number: | 9017511344 |
NPI Enumeration Date: | 07/25/2007 |
NPI Last Update Date: | 02/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD0000020966 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |