Individual
DR. DARRELL CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6720 BERTNER ST, HOUSTON, TX 77030-2604
(832) 355-2121
Mailing address
4402 MOUNTWOOD ST, HOUSTON, TX 77018-1027
(713) 956-6209
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J9859
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138421615
—
TX
05
—
138421617
—
TX
01
—
8F8876
BCBS
TX
Enumeration date
07/21/2006
Last updated
08/23/2013
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