Provider Demographics
NPI:1467857300
Name:CALHOUN, GERMAINE (NP)
Entity Type:Individual
Prefix:
First Name:GERMAINE
Middle Name:
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9101 LBJ FWY
Mailing Address - Street 2:SUITE 710
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-2057
Mailing Address - Country:US
Mailing Address - Phone:972-792-5700
Mailing Address - Fax:214-506-1170
Practice Address - Street 1:1078 S 88TH STREET
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-9452
Practice Address - Country:US
Practice Address - Phone:303-665-3772
Practice Address - Fax:973-661-8333
Is Sole Proprietor?:No
Enumeration Date:2014-11-04
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP126820363LG0600X
COC-APN.0101329-C-NP363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX377002YVV6Medicare PIN