Provider Demographics
NPI:1710227558
Name:MCKAIG, CALVIN NEWTON (MD)
Entity Type:Individual
Prefix:DR
First Name:CALVIN
Middle Name:NEWTON
Last Name:MCKAIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1203 CANTERBURY CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-1001
Mailing Address - Country:US
Mailing Address - Phone:817-860-1529
Mailing Address - Fax:
Practice Address - Street 1:1203 CANTERBURY CT
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-1001
Practice Address - Country:US
Practice Address - Phone:817-860-1529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-14
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD1731207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology