Individual
JASON STEPHEN CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
509 MEDICAL CENTER ROAD, FORT CAVAZOS, TX 76544-5060
(254) 553-4684
Mailing address
509 MEDICAL CENTER ROAD, FORT CAVAZOS, TX 76544-5060
(254) 553-4684
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03673
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA03673
PHYSICIAN ASSISTANTS
TX
Enumeration date
08/09/2006
Last updated
08/18/2023
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