MEDICARE: DR. JUAN E CALERO PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	002833-PA	PR
2	246ZC0007X	Surgical Assistant	SA00881	TX
3	246ZC0007X	Surgical Assistant	03-144	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SA00881	OTHER	TX	LSA
2	002833-P.A	OTHER	PR	SURGERY

General Provider Information

NPI Number	:	1285787374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUAN E CALERO PA

Provider Business Mailing Address
First Line	:	7941 KATY FWY # 146
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-1924
Country	:	US
Telephone Number	:	832-856-2575
Fax Number	:	281-895-2575

Provider Business Practice Location Address
First Line	:	7941 KATY FWY STE 146
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-1924
Country	:	US
Telephone Number	:	832-856-6720
Fax Number	:	281-895-2575

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	04/20/2026

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Directions to “ DR. JUAN E CALERO PA” Practice Location

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