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 |