Individual
MR. FABIAN T CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO, LPO
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
604
TX
222Z00000X
Orthotist
Primary
604
TX
224P00000X
Prosthetist
604
TX
Other
Enumeration date
05/08/2006
Last updated
09/18/2024
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