Organization
CAL-X FAMILY CLINIC PLC
Active
Other names
CalHealth Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TEKOYA MOSELINE CALIXTE FNP (MEMBER)
(602) 617-9774
Entity
Organization
Contact information
Practice address
955 N MCQUEEN RD STE 2, CHANDLER, AZ 85225-8129
(602) 617-9774
Mailing address
955 N MCQUEEN RD STE 2, CHANDLER, AZ 85225-8129
(602) 617-9774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159554
AHCCCS
AZ
Enumeration date
07/09/2022
Last updated
11/09/2022
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