| Michelle Raye Caballero, MD | |
|
17580 Ih 45 South, Wl-330, Conroe, TX 77384 | |
| (936) 267-5000 | |
| (832) 822-0752 |
| Full Name | Michelle Raye Caballero |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology - Pediatric Anesthesiology |
| Location | 17580 Ih 45 South, Conroe, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134209562 | NPI | - | NPPES |
| 176295701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP3000X | Anesthesiology - Pediatric Anesthesiology | M1554 (Texas) | Primary |
| Entity Name | Texas Childrens Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861675506 PECOS PAC ID: 4385722081 Enrollment ID: O20080422000209 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Raye Caballero, MD 6621 Fannin Street, A3300, Houston, TX 77030-2303 Ph: (832) 824-1000 | Michelle Raye Caballero, MD 17580 Ih 45 South, Wl-330, Conroe, TX 77384 Ph: (936) 267-5000 |
Susan W Munga, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 Medical Center Blvd Ste 335, Conroe, TX 77304 Phone: 936-877-1044 Fax: 936-877-1056 |
Dr. Jessen James Mukalel, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3786 Fm 1488 Rd Ste 150, Conroe, TX 77384 Phone: 346-272-0025 Fax: 281-781-2540 |