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NPI Code Detail

MEDICARE: SANDRA MILENA CALKUSIC

MEDICARE:   SANDRA MILENA CALKUSIC
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
1363LF0000XFamily Nurse PractitionerF10230366TX
2363LF0000XFamily Nurse Practitioner1142323TX

General Provider Information

NPI Number : 1942072160
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA MILENA CALKUSIC
Provider Business Mailing Address
First Line : 2426 REGATTA LN
Second Line :
City : TEXAS CITY
State : TX
Zip : 77568-6057
Country : US
Telephone Number : 281-975-9639
Fax Number :
Provider Business Practice Location Address
First Line : 6416 BROADWAY ST
Second Line :
City : GALVESTON
State : TX
Zip : 77551-1033
Country : US
Telephone Number : 409-744-5437
Fax Number : 409-772-3680
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2023
Last Update Date : 02/25/2026

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Directions to “ SANDRA MILENA CALKUSIC ” Practice Location

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