Provider Demographics
NPI:1235457425
Name:CALDERA, ZURAIMA TAILI (MD)
Entity Type:Individual
Prefix:
First Name:ZURAIMA
Middle Name:TAILI
Last Name:CALDERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ZURAIMA
Other - Middle Name:TAILI
Other - Last Name:SEGOVIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2901 CABALLO RANCH BLVD STE 6D
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78641-4637
Mailing Address - Country:US
Mailing Address - Phone:512-851-1220
Mailing Address - Fax:512-851-1080
Practice Address - Street 1:2901 CABALLO RANCH BLVD STE 6D
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78641-4637
Practice Address - Country:US
Practice Address - Phone:512-851-1220
Practice Address - Fax:512-851-1080
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP200428802084P0804X
TXQ40552084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry