Provider Demographics
NPI:1750325239
Name:CALDA, RICHARD KEITH (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:KEITH
Last Name:CALDA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3906 S MEDFORD DR
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75901-5754
Mailing Address - Country:US
Mailing Address - Phone:936-639-1014
Mailing Address - Fax:936-639-1099
Practice Address - Street 1:3906 S MEDFORD DR
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75901-5754
Practice Address - Country:US
Practice Address - Phone:936-639-1014
Practice Address - Fax:936-639-1099
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC6358111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX606145OtherACN/UHC NUMBER
TX608389OtherBLUECROSS BLUESHIELD
TX608389OtherBLUECROSS BLUESHIELD
TXU56991Medicare UPIN