Individual
MR. FABIAN T CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO, LPO
Contact information
Practice address
3901 MONTANA AVE STE C, EL PASO, TX 79903-4507
(915) 566-3440
(915) 566-1485
Mailing address
1047 CASTILLO CT, EL PASO, TX 79932-1848
(915) 241-2115
(915) 566-1485
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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