Organization
PODIATRY ASSOCIATES OF VICTORIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAUREEN LEIGH CALDWELL DPM (DOCTOR)
(361) 578-2777
Entity
Organization
Contact information
Practice address
116 IMPERIAL DR, VICTORIA, TX 77901-3948
(361) 578-2777
(361) 578-2778
Mailing address
116 IMPERIAL DR, VICTORIA, TX 77901-3948
(361) 578-2777
(361) 578-2778
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00920K
BCBS GROUP NUMBER
TX
01
—
DB9630
RAILROAD MEDICARE GROUP
TX
Enumeration date
11/15/2005
Last updated
03/19/2008
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