Individual
FREDERIC S CALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1705 MARTIN LUTHER KING JR BLVD # 75215, DALLAS, TX 75215-3222
(214) 421-4800
Mailing address
1705 MARTIN LUTHER KING JR BLVD # 75215, DALLAS, TX 75215-3222
(214) 421-4800
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
51659-0925
TX
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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