Provider Demographics
NPI:1245597814
Name:CALDWELL, JOHN ERIC (MS, NP-C)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:ERIC
Last Name:CALDWELL
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Gender:M
Credentials:MS, NP-C
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Mailing Address - Street 1:PO BOX 6517
Mailing Address - Street 2:7210 VIRGINIA PKWY STE 100
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5113
Mailing Address - Country:US
Mailing Address - Phone:214-769-7866
Mailing Address - Fax:
Practice Address - Street 1:4301 N MACARTHUR BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-6497
Practice Address - Country:US
Practice Address - Phone:214-769-7866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-19
Last Update Date:2021-04-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX647888363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily