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NPI Code Detail

MEDICARE: ISRAEL CALZADA MD

MEDICARE:   ISRAEL  CALZADA  MD
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
1390200000XStudent in an Organized Health Care Education/Training ProgramBP10050013TX
22084P0800XPsychiatry PhysicianR3286TX

General Provider Information

NPI Number : 1851711725
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISRAEL CALZADA MD
Provider Business Mailing Address
First Line : 1000 HERITAGE CENTER CIR
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-4463
Country : US
Telephone Number : 512-550-1715
Fax Number : 844-522-0357
Provider Business Practice Location Address
First Line : 1000 HERITAGE CIRCLE CENTER
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-4463
Country : US
Telephone Number : 512-550-1715
Fax Number : 844-522-0357
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2014
Last Update Date : 11/21/2024

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