MEDICARE: DR. JENNIFER JOHNSON CALDWELL, 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	207R00000X	Internal Medicine Physician	K5571	TX
2	207QA0505X	Adult Medicine Physician	C23208	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558425470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. JENNIFER JOHNSON CALDWELL, MD, PA

Provider Business Mailing Address
First Line	:	2450 LOUISIANA ST
Second Line	:	400-716
City	:	HOUSTON
State	:	TX
Zip	:	77006-2380
Country	:	US
Telephone Number	:	713-520-8963
Fax Number	:	713-523-6941

Provider Business Practice Location Address
First Line	:	1315 ST. JOSEPH'S PARKWAY
Second Line	:	#1309
City	:	HOUSTON
State	:	TX
Zip	:	77002
Country	:	US
Telephone Number	:	713-654-4493
Fax Number	:	713-654-0020

Authorized Official
Title or Position	:	PRESIDENT PHYSICIAN
Name	:	DR. JENNIFER LAVETTE JOHNSON-CALDWELL
Credential	:	M.D.
Telephone Number	:	713-654-4493

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	09/11/2025

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