Caraballo, Michelle Jean Brock

Caraballo, Michelle Jean Brock is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-7208. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is her primary health care specialty. Caraballo, Michelle Jean Brock can be contacted via phone (214) 456-2857.

Contact Information

Primary practice address
5323 Harry Hines Blvd Dallas TX 75390-7208
Phone: (214) 456-2857
Fax: (214) 456-5406
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 50011 Colorado
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X N6190 Texas

Profile Details

NPI number 1023280021
LBN Legal business name Caraballo, Michelle Jean Brock
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2008
Last updated Sep 16th, 2015 - about 10 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 1023280021 NPPES
Colorado MEDICAID 19451334
Colorado MEDICAID COA106588

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