Calderon, Jose Luis
Calderon, Jose Luis is an individual health care provider with primary practice located at 6211 Edgemere Blvd Suite 1, El Paso TX 79925. 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 Luis can be contacted via phone (915) 881-8264.Contact Information
Primary practice address
6211 Edgemere Blvd Suite 1
El Paso TX 79925
Phone: (915) 881-8264
Fax: (915) 881-8082
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA04149 | Texas |
Profile Details
| NPI number | 1568427680 |
|---|---|
| LBN Legal business name | Calderon, Jose Luis |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Jul 13th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568427680 | NPPES |
| Texas | Other | 8N8784 | BCBS |
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