| Dr Henry Calderoni, MD | |
|
5055 Mcnutt Rd, Santa Teresa, NM 88008-9442 | |
| (575) 589-5005 | |
| (575) 589-1333 |
| Full Name | Dr Henry Calderoni |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 5055 Mcnutt Rd, Santa Teresa, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861483083 | NPI | - | NPPES |
| 000G6207 | Medicaid | NM | |
| 115519404 | Medicaid | TX | |
| 476935ZS5H | Other | NM | WELLMED PTAN |
| 080166729 | Other | TX | PALMETTO GBA |
| 908609J10 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F8430 (Texas) | Secondary |
| 207Q00000X | Family Medicine | 80-18 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Henry Calderoni, MD 5055 Mcnutt Rd, Santa Teresa, NM 88008-9442 Ph: (575) 589-5005 | Dr Henry Calderoni, MD 5055 Mcnutt Rd, Santa Teresa, NM 88008-9442 Ph: (575) 589-5005 |
Dr. Douglas Zischkau, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5055 Mcnutt Rd, Santa Teresa, NM 88008 Phone: 575-589-5005 Fax: 575-589-1333 | |
Dr. Robert L Nichols, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Country Club Road, Santa Teresa, NM 88008 Phone: 505-589-4000 Fax: 505-589-7225 | |
Lucia Marquez-valdepena, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 5300 Mcnutt Rd Ste 8, Santa Teresa, NM 88008 Phone: 915-921-0004 | |
Dorothy F Gault-mcnemee, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5290 Mcnutt Road, Santa Teresa, NM 88008 Phone: 505-589-1144 Fax: 505-589-2008 |