Individual
DR. JACK MCCALLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
865 DESHONG DR, PARIS, TX 75460-9313
(907) 737-1111
Mailing address
2014 WASHINGTON ST, NEWTON, MA 02462-1607
(617) 243-6298
(617) 243-6184
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
59984
MA
207L00000X
Anesthesiology Physician
Primary
W1313
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059984
TUFTS HEALTH PLAN
MA
05
—
3035522
—
MA
01
—
J07425
BCBS MA
MA
Enumeration date
11/07/2005
Last updated
05/12/2026
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