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Individual
DR. HENRY CALDERONI
Active
Individual
DR. HENRY CALDERONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
80-18
NM
207Q00000X
Family Medicine Physician
F8430
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G6207
—
NM
01
—
080166729
PALMETTO GBA
TX
05
—
115519404
—
TX
01
—
476935ZS5H
WELLMED PTAN
NM
05
—
908609J10
—
TX
Enumeration date
11/04/2005
Last updated
06/15/2016
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