Caballero, Jessica A
Caballero, Jessica A is an sole proprietor health care provider with primary practice located at 13231 Champion Forest Dr #304, Houston TX 77069-2600. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Caballero, Jessica A can be contacted via phone (281) 444-2755.Contact Information
Primary practice address
13231 Champion Forest Dr #304
Houston TX 77069-2600
Phone: (281) 444-2755
Fax: (281) 444-6014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 20951 | Texas |
Profile Details
| NPI number | 1255356010 |
|---|---|
| LBN Legal business name | Caballero, Jessica A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Feb 1st, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255356010 | NPPES |
| Texas | MEDICAID | 162961001 |
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