Individual
DR. RICHARD THOMAS CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 OPELOUSAS STREET, LAKE CHARLES, LA 70601
(337) 439-9983
Mailing address
2000 OPELOUSAS STREET, LAKE CHARLES, LA 70601
(337) 439-9983
(337) 310-1161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2014-0048
NM
207Q00000X
Family Medicine Physician
24446
CO
207Q00000X
Family Medicine Physician
F3804
TX
207Q00000X
Family Medicine Physician
Primary
MD.207803
LA
207RS0010X
Sports Medicine (Internal Medicine) Physician
2014-0048
NM
207RS0010X
Sports Medicine (Internal Medicine) Physician
24446
CO
207RS0010X
Sports Medicine (Internal Medicine) Physician
F3804
TX
207RS0010X
Sports Medicine (Internal Medicine) Physician
MD.207803
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16704070
—
CO
05
—
643610
—
AZ
05
—
S1607
—
NM
Enumeration date
11/02/2005
Last updated
12/29/2015
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