Most Relevant Information
Provider Data
NPI Number: | 1003288994 |
Provider Name: | LUIS GERARDO CABAN CSA |
Entity Type: | Individual |
Taxonomy Code: | 363AS0400X |
Specialty: | Physician Assistant |
License Number: |
Most Important Dates
Enumeration Date: | 10/30/2015 |
Last Updated: | 10/30/2015 |
Provider Practice Location
934 ARBOR PINE
TOMBALL
TX
77375
Practice Location Phone/Fax
Phone: | 8328879037 |
Fax: | 2812558693 |
Provider Mailing Location
PO BOX 692186
HOUSTON
TX
772692186
Provider Mailing Phone/Fax
Phone: | 8328879037 |
Fax: | 2812558693 |