Provider Demographics
NPI:1073045977
Name:CALZADA MEDICAL ASSOCIATES PA
Entity Type:Organization
Organization Name:CALZADA MEDICAL ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:A
Authorized Official - Last Name:CALZADA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-826-1215
Mailing Address - Street 1:147 W SUNSET RD STE 217
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-2676
Mailing Address - Country:US
Mailing Address - Phone:210-614-3021
Mailing Address - Fax:210-579-7388
Practice Address - Street 1:147 W SUNSET RD STE 200
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-2080
Practice Address - Country:US
Practice Address - Phone:210-826-1215
Practice Address - Fax:210-826-1241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-30
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN2976207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty