| Leopoldo Cabrera | |
|
542419th St Ste 200 Lubbock TX 79407-2106 | |
| (806) 722-4453 | |
| (806) 722-4461 |
| Full Name | Leopoldo Cabrera |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 542419th St, Lubbock, Texas |
| Authorized Official Name and Position | Leopoldo a Cabrera (PRESIDENT) |
| Authorized Official Contact | 8067224453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leopoldo Cabrera Po Box 16367 Lubbock TX 79490-6367 Ph: (806) 722-4453 | Leopoldo Cabrera 542419th St Ste 200 Lubbock TX 79407-2106 Ph: (806) 722-4453 |
| NPI Number | 1255573465 |
|---|---|
| Provider Enumeration Date | 04/02/2009 |
| Last Update Date | 01/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255573465 | NPI | - | NPPES |
| 122410706 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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