Provider Demographics
NPI:1760847016
Name:CALDA CHIROPRACTIC PA
Entity Type:Organization
Organization Name:CALDA CHIROPRACTIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:CALDA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:936-639-1014
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-30
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6358111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty