Dr. Michelle Jean Brock Caraballo
Pediatrician Pediatric Pulmonologist
5323 Harry Hines Blvd
Dallas
, Texas 75390-7208
Dr. Michelle Jean Brock Caraballo
Pediatrician Pediatric Pulmonologist
5323 Harry Hines Blvd
Dallas
, Texas 75390-7208
(214) 456-5406
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About
Features
Specialties
- Pediatrician
- Pediatric Pulmonologist
Languages spoken
- English
Location
First Address
- Dr. Michelle Jean Brock Caraballo
- Po Box 845347
- Dallas, TX
- Zip : 75284-5347
- Fax : (214) 456-5406
- Phone : (214) 456-2857
Second Address
- Dr. Michelle Jean Brock Caraballo
- 5323 Harry Hines Blvd
- Dallas, TX
- Zip : 75390-7208
- Fax : (214) 456-5406
- Phone : (214) 456-2857
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 50011 | CO |
| Y | 2080P0214X | Pediatric Pulmonologist | N6190 | TX |
National Provider Identifier
| NPI | 1023280021 |
|---|---|
| Provider Name | Dr. Michelle Jean Brock Caraballo |
| First Address | Dallas, TX 75284-5347 |
| Second Address | Dallas, TX 75390-7208 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2008 |
| Last Update Date | 16/09/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 19451334 | (05) | CO |
| COA106588 | (05) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.