Healthcare Provider Details

I. General information

NPI: 1073368916
Provider Name (Legal Business Name): DANIEL N CALIFANO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2024
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36065 SANTA FE AVE
FORT HOOD TX
76544-5060
US

IV. Provider business mailing address

36065 SANTA FE AVE
FORT HOOD TX
76544-5060
US

V. Phone/Fax

Practice location:
  • Phone: 254-288-8280
  • Fax: 254-618-1014
Mailing address:
  • Phone: 254-288-8280
  • Fax: 254-618-1014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number0102210044
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: