Provider Demographics
NPI:1942469531
Name:CALANDRA CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:CALANDRA CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:CALANDRA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:210-408-6446
Mailing Address - Street 1:11230 WEST AVE
Mailing Address - Street 2:SUITE 2207
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-1350
Mailing Address - Country:US
Mailing Address - Phone:210-408-6446
Mailing Address - Fax:
Practice Address - Street 1:11230 WEST AVE
Practice Address - Street 2:SUITE 2207
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1350
Practice Address - Country:US
Practice Address - Phone:210-408-6446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2013-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10788111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty