Calderon, Jose

Calderon, Jose is an individual health care provider with primary practice located at 11801 South Fwy Ste 140 , Burleson TX 76028-7021. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Calderon, Jose can be contacted via phone (817) 551-6161.

Contact Information

Primary practice address
11801 South Fwy Ste 140 Burleson TX 76028-7021
Phone: (817) 551-6161
Fax: (817) 551-6177
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1637 Maine
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9108606 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA009919 Texas

Profile Details

NPI number 1033506480
LBN Legal business name Calderon, Jose
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2015
Last updated Sep 19th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033506480 NPPES
Texas MEDICAID 567171YL7B
Texas MEDICAID 567171YNGS
Texas MEDICAID 567171YL7A

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