MEDICARE: DR. ANNE S. CALVERT PH.D.

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	231HA2400X	Assistive Technology Practitioner Audiologist	50441	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	:	1205011764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNE S. CALVERT PH.D.

Provider Business Mailing Address
First Line	:	2645 ARAPAHO RD STE 121
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75044-7942
Country	:	US
Telephone Number	:	972-270-6731
Fax Number	:	972-613-2852

Provider Business Practice Location Address
First Line	:	2645 ARAPAHO RD STE 121
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75044-7942
Country	:	US
Telephone Number	:	972-270-6731
Fax Number	:	972-613-2852

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

Provider Enumeration Date	:	01/03/2008
Last Update Date	:	12/23/2008

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