Individual
MRS. TRINA GABERT CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2483 I-40 WEST, AMARILLO, TX 79109
(806) 463-3200
(806) 463-3179
Mailing address
2483 I-40 WEST, AMARILLO, TX 79109
(806) 463-3200
(806) 463-3179
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
527282
TX
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
527282
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179452101
—
TX
01
—
179452103
MEDICAID - OB/GYN
TX
01
—
179452104
MEDICAID - INTERNAL MEDICNE
TX
05
—
200128470 A
—
OK
01
—
8J9935
MEDICARE - OB/GYN
TX
01
—
8L25326
MEDICARE - INTERNAL MEDICINE
TX
05
—
P6119
—
NM
Enumeration date
08/01/2006
Last updated
04/14/2014
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