Provider Demographics
NPI:1013199645
Name:CALANDRA, PAUL (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:CALANDRA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11230 WEST AVE
Mailing Address - Street 2:SUITE 2207
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-1350
Mailing Address - Country:US
Mailing Address - Phone:210-408-6446
Mailing Address - Fax:210-888-8520
Practice Address - Street 1:11230 WEST AVE
Practice Address - Street 2:SUITE 2207
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1350
Practice Address - Country:US
Practice Address - Phone:210-408-6446
Practice Address - Fax:210-888-8520
Is Sole Proprietor?:No
Enumeration Date:2007-12-05
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10788111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor