Provider Demographics
NPI:1861487167
Name:CALVIN L. DAY, JR., M.D., P.A.
Entity Type:Organization
Organization Name:CALVIN L. DAY, JR., M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:DAY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:210-615-8345
Mailing Address - Street 1:7711 LOUIS PASTEUR DR SUITE 104
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3411
Mailing Address - Country:US
Mailing Address - Phone:210-615-8345
Mailing Address - Fax:
Practice Address - Street 1:7711 LOUIS PASTEUR DR SUITE 104
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3411
Practice Address - Country:US
Practice Address - Phone:210-615-8345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-13
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG1883207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC15108Medicare UPIN
TX00TY90Medicare PIN