MEDICARE: CALEB JOSEPH JANOSZ MD

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	207Q00000X	Family Medicine Physician	S0305	TX

General Provider Information

NPI Number	:	1447606181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CALEB JOSEPH JANOSZ MD

Provider Business Mailing Address
First Line	:	9411 DYER ST STE B
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79924-6407
Country	:	US
Telephone Number	:	915-250-0007
Fax Number	:

Provider Business Practice Location Address
First Line	:	9411 DYER ST STE B
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79924-6407
Country	:	US
Telephone Number	:	915-250-0007
Fax Number	:

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

Provider Enumeration Date	:	05/12/2016
Last Update Date	:	05/14/2025

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