Albert Caballero III, ATC, LAT
Individual provider Active NPI Athletic Trainer · Alamo, TX
NPI 1154842870 · NPPES record last updated Sep 19, 2023
Key facts
- NPI
- 1154842870
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT8283 (TX)
- Practice address
- 219 Caramel Dr
Alamo, TX 78516 - Phone
- (956) 475-4782
- NPI assigned
- Jul 3, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT8283 | TX | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | AT8283 | TX | Yes |
Addresses
Primary practice location
219 Caramel Dr
Alamo, TX 78516
Mailing address
219 Caramel Dr
Alamo, TX 78516-7239
Other providers in Alamo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.