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Individual
MR. JOSE CALDERON
Active
Individual
MR. JOSE CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA009919
TX
363A00000X
Physician Assistant
PA1637
ME
363A00000X
Physician Assistant
PA9108606
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
567171YL7A
—
TX
05
—
567171YL7B
—
TX
05
—
567171YNGS
—
TX
Enumeration date
04/23/2015
Last updated
09/19/2022
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