Individual
TOMMY CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1205 E 35TH ST, TEXARKANA, AR 71854-2746
(903) 614-5355
(903) 614-5399
Mailing address
PO BOX 5637, TEXARKANA, TX 75505-5637
(903) 831-7270
(903) 794-0496
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP131459
TX
Other
Enumeration date
07/21/2016
Last updated
12/27/2016
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