Organization
CALLICOAT FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA KAY CALLICOAT RN, MSN, FNP-C (NP)
(903) 737-8095
Entity
Organization
Contact information
Practice address
1025 DESHONG DR, PARIS, TX 75460-9330
(903) 785-4600
Mailing address
11135 FARM ROAD 1497, PARIS, TX 75462-3890
(903) 737-8095
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
J1535
TX
363LF0000X
Family Nurse Practitioner
Primary
610833
TX
Other
Enumeration date
02/19/2009
Last updated
12/21/2010
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