Provider Demographics
NPI:1750068334
Name:CABALLERO, CRYSTAL (MSN, FNP-BC)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:
Last Name:CABALLERO
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:CRYSTAL
Other - Middle Name:DELGADO
Other - Last Name:CABALLERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2213 N KENNEDY DR
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78599-8806
Mailing Address - Country:US
Mailing Address - Phone:956-463-4437
Mailing Address - Fax:
Practice Address - Street 1:913 S AIRPORT DR STE A
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6653
Practice Address - Country:US
Practice Address - Phone:956-647-5529
Practice Address - Fax:956-647-5617
Is Sole Proprietor?:No
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1383207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics