Caballero, Renato M

Caballero, Renato M is an individual health care provider with primary practice located at 3201 W Gore Blvd Ste 301, Lawton OK 73505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Caballero, Renato M can be contacted via phone (580) 248-8225.

Contact Information

Primary practice address
3201 W Gore Blvd Ste 301 Lawton OK 73505
Phone: (580) 248-8225
Fax: (580) 248-8919
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14902 Oklahoma

Profile Details

NPI number 1306831458
LBN Legal business name Caballero, Renato M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jan 29th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306831458 NPPES
Oklahoma Other 404757 AETNA
Oklahoma Other 080194100 AETNA
Oklahoma Other 100138580B AETNA
Oklahoma Other 125324500 AETNA
Oklahoma MEDICAID 100138580C AETNA

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