| Caballero Family Healthcare Group Pllc | |
|
1920 Kirby Pkwy #202 Germantown TN 38138-3696 | |
| (901) 751-9997 | |
| (901) 751-1344 |
| Full Name | Caballero Family Healthcare Group Pllc |
|---|---|
| Speciality | General Practice |
| Location | 1920 Kirby Pkwy, Germantown, Tennessee |
| Authorized Official Name and Position | Hugo A. Caballero (OWNER) |
| Authorized Official Contact | 9017519997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caballero Family Healthcare Group Pllc 1920 Kirby Pkwy #202 Germantown TN 38138-3696 Ph: (901) 751-9997 | Caballero Family Healthcare Group Pllc 1920 Kirby Pkwy #202 Germantown TN 38138-3696 Ph: (901) 751-9997 |
| NPI Number | 1346430469 |
|---|---|
| Provider Enumeration Date | 07/25/2007 |
| Last Update Date | 02/12/2014 |
| Medicare PECOS PAC ID | 5193791937 |
|---|---|
| Medicare Enrollment ID | O20040902001433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346430469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD0000020966 (Tennessee) | Primary |
| Provider Name | James M Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699752626 PECOS PAC ID: 1658361332 Enrollment ID: I20040514000523 |
| Provider Name | Erin W Dickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013330141 PECOS PAC ID: 0648246991 Enrollment ID: I20040908000505 |
| Provider Name | Hugo A Caballero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881672152 PECOS PAC ID: 1456327295 Enrollment ID: I20040908000548 |
| Provider Name | Wendy A Remmers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497181937 PECOS PAC ID: 8022248582 Enrollment ID: I20140228000685 |
| Provider Name | Drennan N Pearrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386423366 PECOS PAC ID: 2062945033 Enrollment ID: I20241029003277 |
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