Individual
TERI L. CALHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1140 ABBOTT ST, SALINAS, CA 93901-4503
(831) 422-2188
Mailing address
319 N CHURCH ST, VISALIA, CA 93291-5008
(855) 733-7772
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA14602
CA
363A00000X
Physician Assistant
PA05575
TX
363AM0700X
Medical Physician Assistant
PA05575
TX
363AM0700X
Medical Physician Assistant
Primary
PA14602
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HG805Z
PTAN
CA
Enumeration date
02/27/2008
Last updated
10/25/2019
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