Provider Demographics
NPI:1922197342
Name:CALDERON, SHEILA FARASH (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:FARASH
Last Name:CALDERON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5729 LEBANON RD
Mailing Address - Street 2:BUILDING B SUITE 180
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-7260
Mailing Address - Country:US
Mailing Address - Phone:214-705-6565
Mailing Address - Fax:214-705-6562
Practice Address - Street 1:5729 LEBANON RD
Practice Address - Street 2:BUILDING B SUITE 180
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034
Practice Address - Country:US
Practice Address - Phone:214-705-6565
Practice Address - Fax:214-705-6562
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF9270207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX732812OtherMEDICARE
TX8JV992OtherBCBS
TXTPI 114355401Medicaid