Individual
CLIFFORD CALDWELL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
803 ORION DR, BASTROP, LA 71220-3473
(318) 884-8051
Mailing address
803 ORION DR, BASTROP, LA 71220-3473
(318) 884-8051
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
010585243
LA
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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