MEDICARE: DENILSON GUILLERMO CALDERON

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	231H00000X	Audiologist

General Provider Information

NPI Number	:	1679420731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENILSON GUILLERMO CALDERON

Provider Business Mailing Address
First Line	:	18525 W LAKE HOUSTON PKWY STE 102A
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-3446
Country	:	US
Telephone Number	:	281-361-4327
Fax Number	:	281-361-3094

Provider Business Practice Location Address
First Line	:	18525 W LAKE HOUSTON PKWY STE 102A
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-3446
Country	:	US
Telephone Number	:	281-361-4327
Fax Number	:	281-361-3094

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

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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Directions to “ DENILSON GUILLERMO CALDERON ” Practice Location

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