MEDICARE: RONNIE EDWARD CALHOUN, MD 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	174400000X	Specialist	H0227	TX

General Provider Information

NPI Number	:	1467621029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONNIE EDWARD CALHOUN, MD PA

Provider Business Mailing Address
First Line	:	1010 E WHEATLAND RD
Second Line	:	SUITE B
City	:	DUNCANVILLE
State	:	TX
Zip	:	75116-4914
Country	:	US
Telephone Number	:	972-283-4100
Fax Number	:	972-283-4350

Provider Business Practice Location Address
First Line	:	1010 E WHEATLAND RD
Second Line	:	SUITE B
City	:	DUNCANVILLE
State	:	TX
Zip	:	75116-4914
Country	:	US
Telephone Number	:	972-283-4100
Fax Number	:	972-283-4350

Authorized Official
Title or Position	:	MEDICAL DOCTOR
Name	:	DR. RONNIE CALHOUN
Credential	:	MD
Telephone Number	:	972-283-4100

Provider Enumeration Date	:	02/27/2008
Last Update Date	:	05/24/2011

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