DR. MICHELLE JEAN BROCK CARABALLO (NPI# 1023280021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023280021 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE JEAN BROCK CARABALLO |
| Other Name | MICHELLE JEAN BROCK |
| Credential | M.D. |
| Practice Address |
5323 Harry Hines Blvd Dallas TX 75390-7208 |
| Mailing Address |
Po Box 845347 Dallas TX 75284-5347 |
| Practice Telephone | 2144562857 |
| Practice Fax Number | 2144565406 |
| Mailing Telephone | 2144562857 |
| Mailing Fax Number | 2144565406 |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2015-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 50011 | CO | Allopathic & Osteopathic Physicians |
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
N6190 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 19451334 | 05 | |
| CT | COA106588 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669903639 | Michelle Caraballo | Counselor | 286 Euclid Ave, #102, San Diego, CA 92114-3610 | 2017-03-22 |
| Street Address |
5323 HARRY HINES BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75390-7208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750384434 | Wayne Edward Vinton | Nurse Anesthetist, Certified Registered | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2005-05-24 |
| 1134726441 | Franco Hernandez | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-10-08 |
| 1902413313 | Suzanne Largent | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-09-29 |
| 1518574540 | Alexandra Abele | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390 | 2020-09-24 |
| 1427660133 | Salman Kazmi | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-24 |
| 1356951800 | Teja Sebastian | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-08 |
| 1891305454 | Usamah Chaudhary | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-9006 | 2020-08-07 |
| 1700496999 | Jada Martin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-9006 | 2020-08-03 |
| 1790395036 | Glaiza-mae Sande-docor | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-02 |
| 1326658675 | Allante Jemar Milsap | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
| 1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
| 1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
| 1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| 1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
| 1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
| 1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
| 1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
| 1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
| Find all providers in zip 75390 | ||||
| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790137628 | Bayan Abdallah | Pediatrics | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2016-07-03 |
| 1609014851 | Pravin Sah | Pediatrics | 7777 Forest Ln, Suite B-309, Dallas, TX 75230-2571 | 2009-01-27 |
| 1457475162 | Dallas Cystic Fibrosis Center, Pa | Pediatrics | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2007-03-19 |
| 1285788489 | Preeti Bhatia Sharma | Pediatrics | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2007-01-23 |
| 1780773671 | Suja J Nair | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-10-11 |
| 1952362246 | Syed Kamal Mustafa Naqvi | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-03-28 |
| 1275514135 | Tanya M Martinez-fernandez | Pediatrics | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891085528 | Sonal Malhotra | Pediatrics | 7700 Fannin St Ste 1040, Houston, TX 77054 | 2011-04-14 |
| 1669792248 | Joseph Tayar | Pediatrics | 11111 Research Blvd Ste 300, Austin, TX 78759-5792 | 2010-06-07 |
| 1003143553 | Marlene D. Typaldos Sanchez | Pediatrics | 6701 Fannin St Ste 1040, Houston, TX 77030-2611 | 2009-11-04 |
| 1508031956 | Arthur C Ogborn Jr. | Pediatrics | 844 Central Blvd Ste 420, Brownsville, TX 78520-7535 | 2008-04-28 |
| 1417125154 | Texas Pediatric Pulmonary Consultants, P.a. | Pediatrics | 140 W Lamberth Rd, Suite C, Sherman, TX 75092-2667 | 2008-02-15 |
| 1073702981 | Austin Children's Chest Associates II | Pediatrics | 3305 Northland Dr Ste 512, Austin, TX 78731-4991 | 2007-10-16 |
| 1083807820 | Kavita A Patel | Pediatrics | 8611 N Mopac Expy Ste 300, Austin, TX 78759-8319 | 2007-08-24 |
| 1144309279 | Harold J. Farber | Pediatrics | 6701 Fannin St, 9th Floor, Mc Cc 920.01, Texas Children's Hospital Clinical Care Center, Houston, TX 77030 | 2006-11-02 |
| 1710062237 | Roberto A Ayres Mdpa | Pediatrics | 1900 South Jackson, Ste 7, Mcallen, TX 78501 | 2006-10-25 |
| 1083721377 | Lee Kirchner | Pediatrics | 3619 Paesanos Parkway, Suite 212, San Antonio, TX 78231-1255 | 2006-08-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.