Provider Demographics
NPI:1477279438
Name:CALIBER MEDICAL GROUP
Entity Type:Organization
Organization Name:CALIBER MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-477-4686
Mailing Address - Street 1:700 ROCKMEAD DR STE 159
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-5018
Mailing Address - Country:US
Mailing Address - Phone:346-477-4686
Mailing Address - Fax:713-583-9591
Practice Address - Street 1:700 ROCKMEAD DR STE 159
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-5018
Practice Address - Country:US
Practice Address - Phone:346-477-4686
Practice Address - Fax:713-583-9591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-12
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty