| Dr. Jennifer Johnson-caldwell, M.d.,p.a. | |
|
1315 St Joseph Pkwy Ste 140 Houston TX 77002-8233 | |
| (713) 520-8963 | |
| (713) 523-6941 |
| Full Name | Dr. Jennifer Johnson-caldwell, M.d.,p.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1315 St Joseph Pkwy, Houston, Texas |
| Authorized Official Name and Position | Jennifer Lavette Johnson-caldwell (INTERNAL MEDICINE) |
| Authorized Official Contact | 7135208963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jennifer Johnson-caldwell, M.d.,p.a. 2450 Louisiana St Ste 400716 Houston TX 77006-2380 Ph: (713) 520-8963 | Dr. Jennifer Johnson-caldwell, M.d.,p.a. 1315 St Joseph Pkwy Ste 140 Houston TX 77002-8233 Ph: (713) 520-8963 |
| NPI Number | 1366449357 |
|---|---|
| Provider Enumeration Date | 07/05/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 3779511175 |
|---|---|
| Medicare Enrollment ID | O20050727000859 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366449357 | NPI | - | NPPES |
| 157180403 | Medicaid | TX | |
| 157577101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Texas) | Primary |
| Provider Name | Jennifer L Johnson Caldwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093711269 PECOS PAC ID: 5597660324 Enrollment ID: I20040825000319 |
| Provider Name | Robin Eileen Boliver-campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003096033 PECOS PAC ID: 2466426465 Enrollment ID: I20100914000159 |
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