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:
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Health care specialties

SpecialtyCodeLicense #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 19 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 1568427680 NPPES
Texas Other 8N8784 BCBS

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