Provider Demographics
NPI:1215981337
Name:CALEY, JOHN DAVID (CRNA)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:DAVID
Last Name:CALEY
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6404 GLENHOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8025
Mailing Address - Country:US
Mailing Address - Phone:972-781-1451
Mailing Address - Fax:972-781-1461
Practice Address - Street 1:6009 W PARKER RD
Practice Address - Street 2:SUITE 149-245
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8120
Practice Address - Country:US
Practice Address - Phone:214-244-8796
Practice Address - Fax:972-781-1461
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-22
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX654569367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered