Provider Demographics
NPI:1790341261
Name:CABALLERO, ANN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:
Last Name:CABALLERO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12119 AUBURN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-8614
Mailing Address - Country:US
Mailing Address - Phone:270-804-3300
Mailing Address - Fax:
Practice Address - Street 1:20333 ST HWY 249 STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-2613
Practice Address - Country:US
Practice Address - Phone:832-263-1100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-10
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37250103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent